PMC5835298_01
CXR showing a large right-sided hydropneumothorax, and the esophagus was air-filled down to the distal segment.
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fig1
The CXR showed a large right-sided hydropneumothorax, and the esophagus was air-filled down to the distal segment (Figure 1).
CT of the chest without contrast showing bilateral pleural fluid collections, which were larger and more complex appearing on the right.
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CT of the chest without contrast showed bilateral pleural fluid collections, which were larger and more complex appearing on the right (Figure 2).
A barium swallow showing contrast extravasation into the right pleural cavity confirming esophageal perforation.
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fig3
This revealed a leak in the right distal esophagus, after which a barium swallow exposed esophageal perforation with contrast extravasation into the right pleural cavity (Figure 3), that was confirmed by CT scan.