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Computed tomography revealed air adjacent to the mid-esophagus (red arrow)
and in the anterior pericardial space (white arrow) with a small amount of
pericardial fluid consistent with esophageal perforation.
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The patient was taken for a stat computed tomography (CT) scan of the thorax and abdomen after stabilizing him hemodynamically; which revealed features consistent with esophageal perforation (Figure 1).
Diffusion-weighted sequence MRI reveals innumerable diffusion defects
involving bilateral cerebrum and cerebellum.
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A magnetic resonance imaging (MRI) of his brain revealed innumerable acute bilateral cerebral and cerebellar infarctions suggesting possible septic emboli (Figure 2).