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Click Unenhanced computed tomography of the chest in the axial plane with mediastinal window demonstrates pneumopericardium and hemopericardium. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Mediastinum W = 400 and L = 40).


Click Unenhanced computed tomography of the chest in the axial plane with lung window demonstrates pneumopericardium and hemopericardium. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Lung W = 1465, level = (-) 498).

Click Early arterial phase contrast enhanced computed tomography of the chest in the axial plane with mediastinal window demonstrates pneumopericardium, hemopericardium, and no active extravasation of vascular contrast. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Mediastinum W = 400 and L = 40, 100mL Iohexol 300).

Click Portovenous phase contrast enhanced computed tomography of the chest in the axial plane with mediastinal window demonstrates pneumopericardium, hemopericardium, and no active extravasation of vascular contrast. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Mediastinum W = 400 and L = 40, 100mL Iohexol 300).

Click Portovenous phase contrast enhanced computed tomography of the chest in the coronal plane with mediastinal window demonstrates pneumopericardium, hemopericardium, and no active extravasation of vascular contrast. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Mediastinum W = 400 and L = 40, 100mL Iohexol 300).


Click Portovenous phase contrast enhanced computed tomography of the chest in the sagittal plane with mediastinal window demonstrates pneumopericardium, hemopericardium, and no active extravasation of vascular contrast. (Toshiba Aquilion, 120 kVp, 369 mA, ST = 3mm, Mediastinum W = 400 and L = 40, 100mL Iohexol 300).

Click Esophagram: Initial portion of the exam is a water soluble contrast (Iohexol 300) esophagram in the AP position which demonstrates no extravasation of contrast. Transition to a thin barium sulfate suspension (60% w/v, 41% w/w) occurred in multiple positions which demonstrated small amount of contrast medial to esophageal lumen

Click Esophageal stent deployment: Multiple frontal, fluoroscopic images illustrates demonstrate placement of an esophageal stent, retained contrast in the gastric lumen, and extravasated contrast outside of the esophageal lumen.

Click Follow up Esophagram: Repeat water soluble contrast (Iohexol 300) esophagram demonstrates a patent esophageal stent, retained barium, and no evidence of new extra-luminal contrast extravasation.