case_images: PMC9439882_01
case_images: PMC9439882_02
case_images: Lateral view of chest X-ray on day 0 postesophageal dilatation demonstrating lucency in the middle mediastinum, which is suggestive of esophageal perforation.
case_images: 10-1055-s-0042-1756207-i220652cr-1.jpg
case_images: PMC9439882_02_10-1055-s-0042-1756207-i220652cr-1.jpg
case_images: FI220652cr-1
case_images: Septic workup was obtained, including a chest X-ray ( Fig. 1 ) that showed signs of pneumomediastinum in both anteroposterior and lateral views and which were more evident in the lateral chest view.
case_images: On day 1 postesophageal dilatation, the lining of the pericardium is visualized by the extravasation of the contrast during an upper gastrointestinal study.
case_images: 10-1055-s-0042-1756207-i220652cr-2.jpg
case_images: PMC9439882_02_10-1055-s-0042-1756207-i220652cr-2.jpg
case_images: FI220652cr-2
case_images: A water-soluble contrast study revealed contrast lining the pericardium, suggesting a perforation and resulting in pericardial effusion ( Fig. 2 ).