“…In response to an article by Libeer et al [1] who reports a case of mediastinal emphysema in a 59-year old male, he mentions the low incidence of this condition and comments on only two such cases in patients with lung cancer, one in a patient with metastatic disease and the second, non-small cell lung cancer (NSCLC). I would like to briefly present a third case of spontaneous mediastinal emphysema in a patient with limited stage small cell lung cancer (SCLC).…”