A 75-year-old man presented with a spontaneous right pneumothorax and pneumopericardium following right atrial pacemaker lead perforation, which is a rare complication, with only two case reports being documented in the literature to the authors' knowledge. It is important that radiologists be aware of cardiac lead perforations, as they may be the first to diagnose this complication.
Keywords: cardiac imaging; cardiology; chest imaging; respiratory.
© 2014 The Royal Australian and New Zealand College of Radiologists.