case_images: PMC5586849_01
case_images: Computed tomogram scan of the chest, with focused image of the vertebral body showing epidural emphysema (horizontal arrow), and subcutaneous emphysema (vertical arrow).
case_images: mpp-0023-0177-g01.jpg
case_images: PMC5586849_01_mpp-0023-0177-g01.jpg
case_images: F1
case_images: She underwent an emergency computed tomogram scan of the chest which showed subcutaneous emphysema, evidence of air in the mediastinum (pneumomediastinum), evidence of air in the peritoneal cavity (pneumoperitoneum) and, interestingly, a rare finding of evidence of air in the epidural space in the thoracic spine (epidural emphysema) (fig. 1).