On the scout image, a thin crescent of gas outlines the bottom of the heart, compatible with pneumomediastinum. Bilateral chest tubes.
With the ingestion of Gastrografin, a right-sided oesophageal leak into the pleural space quickly occurs. The leak crosses over slightly into the left pleural space and extends a little into the retrocrural/retroperitoneal space as well.
- Fluoroscopy (AP scout):
- Fluoroscopy (AP view):
- Fluoroscopy (Rapid sequence AP view):