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Click 21-year-old female with spontaneous pneumomediastinum and achalasia. Axial CT with soft tissue windows demonstrate extensive pneumomediastinum, with extension into soft tissues of the neck and axillae (a) and the epidural space (b). (Protocol: standard algorithm, 300 mAs maximum (automated), 100 kV, 2.5 mm slice thickness, axial reconstruction with standard and lung windows, no contrast material).

Click 21-year-old female with spontaneous pneumomediastinum and achalasia. Coronal CT with soft tissue windows demonstrate extensive pneumomediastinum, with extension into soft tissues of the neck and axillae (a) and the epidural space (b). (Protocol: standard algorithm, 300 mAs maximum (automated), 100 kV, 2.5 mm slice thickness, axial reconstruction with standard and lung windows, no contrast material).

Click 21-year-old female with spontaneous pneumomediastinum and achalasia. Axial CT with lung windows demonstrate extensive pneumomediastinum, with extension into soft tissues of the neck and axillae (a) and the epidural space (b). (Protocol: standard algorithm, 300 mAs maximum (automated), 100 kV, 2.5 mm slice thickness, axial reconstruction with standard and lung windows, no contrast material).