There is wall thickening of the lower third of the oesophagus due to oedema with a disrupted anterior contour of the wall (perforation). In the delayed phase after the peroral administration of contrast medium, there is contrast leakage from the oesophagus lumen towards the pericardial cavity, consistent with an esophagopericardial fistula.
Massive pericardial effusion with air bubbles. There is an enhancement of the thickened pericardium.
Of note, there is inferior vena caval contrast reflux, nutmeg liver, and small bilateral pleural effusions.