PMC8033192_01
PMC8033192_02
chest CT scan: axial view showing pneumomediastinum and subcutaneous emphysema
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F1
An urgent chest CT scan was requested (Figure 1, Figure 2, Figure 3) which revealed a pneumomediastinum, a patulous oedematous oesophagus with an area of discontinuity about 2cm to the gastroesophageal junction (Figure 3). There was also right cervical subcutaneous emphysema (Figure 1).
chest CT scan: axial view showing pneumomediastinum and a thin rim of pneumothorax
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F2
An urgent chest CT scan was requested (Figure 1, Figure 2, Figure 3) which revealed a pneumomediastinum, a patulous oedematous oesophagus with an area of discontinuity about 2cm to the gastroesophageal junction (Figure 3).
chest CT scan: coronal view showing air pneumomediastinum and discontinuity in the oesophageal wall about 2cm from the gastroesophageal junction
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F3
An urgent chest CT scan was requested (Figure 1, Figure 2, Figure 3) which revealed a pneumomediastinum, a patulous oedematous oesophagus with an area of discontinuity about 2cm to the gastroesophageal junction (Figure 3).
barium swallow (eighth day) anteroposterior and lateral views showing no barium spillage from the oesophagus
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F4
He had a barium swallow on day 7 of admission which did not show any leakage from the oesophagus (Figure 4).