59 years old male in intensive care unit with sudden subcutaneous crepitation

Case provided by Viktoria History A 59 years old male with severe pneumonia, ARDS, and prolonged mechanical ventilation. Imaging findings The thoracic plain film radiograph (image A) shows striated subcutaneous hyperlucencies along the lateral chest wall and the cardiac outline compatible with subcutaneous emphysema and pneumomediastinum. The abdominal and thoracic CT scan (images B, C and…