Spontaneous Mediastinal Emphysema with Bilateral Pneumothorax as a Complication of Bronchopneumonia

Noisy Pneumothorax

“…It is known from clinical experience (Heichman et al, 1958) and from experimental work (Macklin, 1939) that air under tension in the mediastinum may burst into both pleural spaces or into either side with equal frequency. It is not surprising, then, to find contributors to this syndrome of supposed " benign spontaneous pneumomediastinum" (Miller, 1945) wondering why a pneumothorax, when demonstrable, is always on the left side.…”