Spontaneous pneumomediastium refers to the presence of air in the mediastinum without any obvious cause. It is an uncommon condition occurring due to alveolar rupture as a result of increased intrathoracic pressure. In this report, we present a case of Subcutaneous Emphysema and Spontaneous Pneumomediastium. Although there are several causes responsible for this condition, it is extremely rare to occur spontaneously with no prior trauma or Predisposing factors, especially in older age groups.