{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:06:23Z","timestamp":1784696783807,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2016,9,30]],"date-time":"2016-09-30T00:00:00Z","timestamp":1475193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are no previous reports regarding the computed tomography (CT) findings of subpleural pulmonary interstitial emphysema (PIE) in patients with spontaneous pneumomediastinum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate CT findings of subpleural PIE that may indicate a direct site of terminal alveolar rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>We retrospectively evaluated chest CT and the medical records of 34 patients with spontaneous pneumomediastinum. Subpleural PIE was defined as the presence of an interstitial air collection in the subpleural portion of the lungs excluding the bronchovascular bundle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Subpleural PIE on CT was identified in six of 34 patients (17.6%) with spontaneous pneumomediastinum. In four of these (66.7%), subpleural PIE was present in multiple lobes suggesting multiple simultaneous ruptures of terminal alveoli. The shape of subpleural PIE was elongated linear (4\/6), branching and linear (1\/6), and elliptical (1\/6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The presence of subpleural PIE on CT suggests an origin of pneumomediastinal air from alveolar rupture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185116629830","type":"journal-article","created":{"date-parts":[[2016,2,11]],"date-time":"2016-02-11T20:08:00Z","timestamp":1455221280000},"page":"1483-1489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Presence of subpleural pulmonary interstitial emphysema as an indication of single or multiple alveolar ruptures on CT in patients with spontaneous pneumomediastinum"],"prefix":"10.1177","volume":"57","author":[{"given":"Hye Rin","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology, CHA University College of Medicine, Bundang, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Min","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, CHA University College of Medicine, Bundang, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hwa Yeon","family":"Lee","sequence":"additional","affiliation":[{"name":"Smile Radiologic Clinic, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Hee","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, CHA University College of Medicine, Bundang, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aletta A","family":"Frazier","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, University of Maryland Medical Center, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles S","family":"White","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, University of Maryland Medical Center, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,9,30]]},"reference":[{"key":"bibr1-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.04.067"},{"key":"bibr2-0284185116629830","doi-asserted-by":"publisher","DOI":"10.4329\/wjr.v6.i11.850"},{"key":"bibr3-0284185116629830","first-page":"S44","volume":"7","author":"Kouritas VK","year":"2015","journal-title":"J Thorac Dis"},{"key":"bibr4-0284185116629830","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.117296"},{"key":"bibr5-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2013.06.001"},{"key":"bibr6-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1097\/01.rct.0000187416.07698.8d"},{"key":"bibr7-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0b013e3182103876"},{"key":"bibr8-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1159\/000029539"},{"key":"bibr9-0284185116629830","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.2.543"},{"key":"bibr10-0284185116629830","doi-asserted-by":"crossref","unstructured":"Dyer J, Jones S. Vomiting-induced surgical emphysema and pneumomediastinum: a self-remitting or life-threatening condition? BMJ Case Rep 2011. 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