PMC7649434_01
Imaging studies and upper endoscopy on diagnosis. A: Chest x-ray showing multiple sequelary nodules; B: Upper endoscopy showing an ulcerated lesion; C: Positron-emission tomography (PET-CT) showing the primary lesion; D: PET-CT showing periesophageal lymph node enhancement.
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These findings were attributed to the prior fungal infection; thus, they did not interfere in the staging process (Fig. 1).
Imaging studies at the time of the anastomotic leak. A: oral contrast chest X-ray showing contrast posterior to the gastric tube; B and C: Chest tomography shows similar findings; D: Upper endoscopy demonstrating a gap in the esophagogastric anastomosis, and the resulting mediastinal fluid collection.
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Oral contrast X-ray and later CT scan were performed revealing a leak on the esophagogastric anastomosis and contiguous mediastinal fluid collection that was contemplated by the cervical drain (Fig. 2).