Fig. 3

SPM in patient-2: (A-B) Day 1: Spinnaker-sail sign and Extrapleural air sign (above left hemidiaphragm) observed. (C) Day 4: Near complete resolution. Yellow arrows: lateral borders of the fascia extending over the thymus and pericardium, which trap leaked air and cause outward bulging of the pericardium. White arrows: entrapped air behind this fascia. Blue arrows: leaked air surrounding the mediastinal structures. T: Thymus. H: Heart