Post-traumatic pulmonary interstitial emphysema

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Fall from height.

Patient Data

Age: 40 years
Gender: Male

Minuscule bilateral pneumothorax. Small amount of free anterior supradiaphragmatic air. Right upper lobe (RUL) and minimal left upper lobe (LUL) contusion, without active bleeding. Bilateral upper lobe interstitial emphysema.

Nondisplaced diagonal manubrial fracture on the left.

Case Discussion

Fall from the fifth floor, history of schizophrenia. Denied attempted suicide.

Bilateral upper lobe interstitial emphysema stood out among the traumatic findings, as interstitial emphysema is a well-known consequence of barotrauma in ventilated neonates but rare in adults.

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