- •CT demonstrated pneumomyocardium at the inferior wall of the heart.
- •Appearance at surgery, surgical pathology, and positive culture suggested necrotizing infection.
- •Pneumomyocardium is a rare CT finding; pneumopericardium is more common.
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☆Conference presentation: This case was presented as a Case-of-the-Day submission for the 2017 Association of Emergency Radiology Annual Meeting as: Ballard, DH; Pennington II, GP; Pennington G; Johnson J, Bhalla S, Raptis C. Necrotizing Fasciitis of the Heart. Oral Presentation at the 2017 Association of Emergency Radiology Annual Meeting; Toronto, Canada. September 7, 2017.