case_images: PMC6709428_01
case_images: Chest x-ray taken prior to chest drain removal, showing no obvious signs of
  pneumothorax.. SE can be seen, especially on the left side of the thorax and bilaterally in
  the nuchal area.
case_images: 10.1177_2050313X19870970-fig1.jpg
case_images: PMC6709428_01_10.1177_2050313X19870970-fig1.jpg
case_images: fig1-2050313X19870970
case_images: (a) Chest x-ray taken immediately prior to intubation, showing massive SE,
  and (b) a section of the CT-thorax scan taken immediately prior to
  intubation, demonstrating SE and pneumomediastinum.. The CT scan also showed a pulmonary lesion apically and laterally in the
  superior pulmonary lobe.
case_images: 10.1177_2050313X19870970-fig2.jpg
case_images: PMC6709428_01_10.1177_2050313X19870970-fig2.jpg
case_images: fig2-2050313X19870970
case_images: Five hours later, while coughing, the patient developed massive SE, involving the whole body as well as pneumomediastinum (Figure 2(a) and (b)), with dyspnea, pain, changes in the pitch of her voice and loss of vision.