PMC3929265_01
(A) X-ray of neck lateral incidence. (B) X-ray AP incidence.. Notes: (A) Neck emphysema on the anterior side (arrows); (B) neck and mediastinal emphysema (arrows).. Abbreviation: AP, anteroposterior.
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A single X-ray image of the thorax and neck also confirmed the semiologic aspects (Figure 1A and B).
Orbital CT scan.. Notes: (A) Orbital CT scan, coronal incidence. Face bilateral emphysema on the soft tissue (large arrows) and orbital and subconjunctival emphysema too (small arrows). (B) Image detail. Ancient orbital fracture sequela (asterisk) and silicon oil into the vitreous cavity (double asterisks).. Abbreviation: CT, computed tomography.
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The patient underwent an orbital computed tomography scan that revealed the presence of emphysema of the orbit and bilateral soft tissue on the face (Figure 2A). This fracture was not previously correct by surgery and is considered as a scar nowadays (Figure 2B).