Abstract

We report a case of blunt chest trauma, where findings on repeated conventional chest radiographs were compatible with pneumothorax developing CT showed that the appearance was due to a detachment after 2 days of mechanical high-pressure ventilation. of the parietal pleura along the lateral, mediastinal and diaphragmatic boundaries of the lungs, imitating a pneumothorax. The widespread pleural detachment was caused by the extra-mediastinal interstitial spread of mediastinal emphysema caused by a small tear in the left main bronchus, which had initially escaped bronchoscopic detection.

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