Barotrauma in ARDS. A: Chest radiograph demonstrates diffuse lung consolidation secondary to ARDS. Parenchymal stippling is present, with lucent perivascular halos secondary to pulmonary interstitial emphysema. B: On chest radiograph 4 days later, pneumomediastinum is now identified with extensive subcutaneous emphysema. C: I n another patient with ARDS, subpleural cysts (arrow) and parenchymal stippling due to pulmonary interstitial emphysema are present. (Reproduced, with permission, from Bongard FS, Sue DY [editors]. Current Critical Care Diagnosis & Treatment. Originally published by Appleton & Lange. Copyright © 1994 by The McGraw-Hill Companies, Inc.) Source: Pulmonary Disorders, Current Medical Diagnosis & Treatment 2017 Citation: Papadakis MA, McPhee SJ, Rabow MW. Current Medical Diagnosis & Treatment 2017; 2016 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1843/cmdt17_ch9_ef061a.png&sec=135705913&BookID=1843&ChapterSecID=135704883&imagename= Accessed: October 20, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved