Presentation
Known NSCLC with mediastinal infiltration with suspicious oesophageal fistulation.
Patient Data
Age: 45 years old
Gender: Male
From the case:
Pneumomediastinum
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Right lower basal opacity representing the known lung tumour and distal collapse/consolidation. There is fine lucency along the inferior aspect of the cardiac shadow (continuous diaphragm sign) and linear air lucencies along the left side of the mediastinum representing pneumomediastinum tracking up to cause surgical emphysema in the left supraclavicular area.
Right sided portocath.
From the case:
Pneumomediastinum
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Right basal and medial infiltrative lung tumour. Surrounding tree-in-bud and reticulonodular lung opacities represent further lung infiltration. Mediastinal and oesophageal invasion with oesophageal-pulmonary fistulation.
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