PMC5946586_01
Patient on initial presentation to the department.
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He reported symptoms of difficulty breathing, facial swelling (Figure 1), and voice of a nasal quality.
CT coronal view of patient, demonstrating extensive subcutaneous emphysema.
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Cardiothoracic Unit. CT scan revealed a pleuro-cutaneous fistula at the site of a recently sited chest drain, with extensive emphysema and a pneumothorax, maximum distance of 7 cm from mediastinum to chest wall (Figures 2 and 3).
CT transverse view of the patient's thorax.
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Cardiothoracic Unit. CT scan revealed a pleuro-cutaneous fistula at the site of a recently sited chest drain, with extensive emphysema and a pneumothorax, maximum distance of 7 cm from mediastinum to chest wall (Figures 2 and 3).