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The Resolution
The multiple radiolucent streaks are consistent with air in the subcutaneous tissues.
This patient was referred to hospital, where he underwent CT that did not reveal a possible cause.
At last follow-up, ENT staff planned to scope him to assess for esophageal and/or tracheal pathology.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem,
Israel. The patient was treated by Dr. Gavriel Tibber, who saw the film and identified the findings.
Clinical Challenge: January, 2010
Nahum Kovalski, BSc, MDCM
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