ABSTRACT
An 84-year-old woman, with background history of atrial fibrillation, cerebral vascular disease, ischemic heart failure by coronary disease with several stent implantation, presented in the emergency room with syncope. The chest radiograph evidenced the coronary trajectory by their calcification.
Subject(s)
Atrial Fibrillation , Calcinosis , Cerebrovascular Disorders , Coronary Artery Disease , Aged, 80 and over , Atrial Fibrillation/diagnosis , Calcinosis/diagnostic imaging , Coronary Artery Disease/diagnostic imaging , Female , HumansABSTRACT
The authors present the case of a previously healthy, 22-year-old male nonsmoker who sought emergency room treatment complaining of retrosternal pain. He reported a history of odynophagia two days before, followed by produc- tive cough, fever and dyspnea. On chest radiography, a line could be observed surrounding the heart and the continuous diaphragm sign. The chest computed tomography scan confirmed the presence of pneumomediastinum and soft tissue emphysema. The case was discussed in a multidisciplinary team, and the possibility of surgical intervention was rejected. Conservative treatment was decided with complete resolution of the pneumomediastinum.