case_images: PMC10849260_01
case_images: A. Chest X-ray at day one of life documenting the presence of large left-sided tension pneumothorax before tube placement (red arrow). There is a moderate-sized right pneumothorax which is partially obscured by the mediastinal shift (blue arrow). B. Chest X-ray on the first day of life after left chest tube placement (red arrow) without signs of subcutaneous emphysema.
case_images: cureus-0016-00000051879-i01.jpg
case_images: PMC10849260_01_cureus-0016-00000051879-i01.jpg
case_images: FIG1
case_images: With a recommendation from the reading radiologist, a repeat four-view CXR was ordered and showed moderate-sized right pneumothorax, mild right basilar opacity suggestive of atelectasis, and a large left-sided pneumothorax that had worsened since initial imaging with signs of tension pneumothorax (Figure 1A). Post-procedural CXR confirmed proper chest tube placement and slightly increased right-sided pneumothorax (Figure 1B).
case_images: A. Chest X-ray on the first day of life showing initial left-sided subcutaneous emphysema (red arrow). B. Chest X-ray on the third day of life showing left-sided subcutaneous emphysema increased in size from previous imaging, tracking upper chest and abdomen anteriorly and posteriorly (red arrows).
case_images: cureus-0016-00000051879-i02.jpg
case_images: PMC10849260_01_cureus-0016-00000051879-i02.jpg
case_images: FIG2
case_images: Approximately 10 hours after tube placement, repeat two-view CXR showed signs of left-sided subcutaneous soft tissue emphysema on the left chest wall (Figure 2, Panel A). The emphysema was found to be larger and tracked to the upper chest and abdomen anteriorly and posteriorly (Figure 2, Panel B).
case_images: Chest X-ray on the sixth day of life showing resolution of pneumothoraces bilaterally with continued presence of left-sided subcutaneous emphysema (red arrow).
case_images: cureus-0016-00000051879-i03.jpg
case_images: PMC10849260_01_cureus-0016-00000051879-i03.jpg
case_images: FIG3
case_images: On day six, repeat CXR showed that the bilateral pneumothoraces were fully resolved (Figure 3).