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Spontaneous Esophageal Tear: "Taco Tear"

Imaging findings

Pneumomediastinum and a defect in the esophagus with contrast pooling, creating a secondary "neo-lumen" tracking posteriorly.

Key takeaways

A "Taco tear" is a high cervical esophageal tear. While classically associated with sharp food items, it can occur spontaneously or via trauma (e.g., coughing fits).

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