case_images: PMC5005527_01
case_images: Computed tomography (CT) imaging of the brain showing air accumulation in right hemisphere with edema (arrows).
case_images: CRIPU2016-4053748.001.jpg
case_images: PMC5005527_01_CRIPU2016-4053748.001.jpg
case_images: fig1
case_images: Hg, and PaO2 67 mmHg), WBC 14,700/mm3, Hgb 8.4 g/dL, Plts 256 x 109/L, Na 126 mmol/L, K 5.1 mmol/L, Cl 99 mmol/L, HCO3 30.8 mmol/L, BUN 26 mmol/L, Cr 0.52 mmol/L, and Gluc 108 mmol/L. Another CXR did not show worsening of the existing pneumothorax and confirmed that the pleural pigtail catheter was in the appropriate position. However, an urgent computed tomography (CT) scan of the head showed low-density opacities that are consistent with air in a watershed pattern on the right hemisphere with edema (Figure 1).