Fig. 22
From: Demystifying the persistent pneumothorax: role of imaging
A 63-year-old male with oesophageal injury and resultant oesophageal-pleural fistula; post-Nissen fundoplication. Lateral image from contrast oesophagram using Omnipaque-350 (a) demonstrated extraluminal leak and subsequent mediastinal pooling (arrow) of orally administered contrast. Axial CT (b) demonstrates interval oesophageal stent placement. A complex left-sided paramediastinal fluid collection is seen containing both contrast (arrow) and air (*)