Presentation
Acute exacerbation of asthma. New chest pain.
Patient Data
There are streaky lucencies projecting over the right hilum and superior mediastinum, extending into the neck. Mild bilateral perihilar peribronchial thickening, consistent with airway inflammation. No dense consolidation in the lungs.
Magnified & annotated view of the streaky lucencies in the mediastinum and right paramidline neck. Findings are consistent with pneumomediastinum.
Case Discussion
Children and adolescents with asthma may present with complications related to airway obstruction/narrowing, such as pneumomediastinum, pneumothorax or lung collapse. Superimposed infection leading to bronchopneumonia or lobar pneumonia can also occur.