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Esophageal Foreign Body with Mediastinal Abscess

Imaging findings

CT of the neck and chest revealed a pen tip in the right paratracheal region and a large collection posterior to the upper aerodigestive tract, consistent with a mediastinal abscess caused by a perforation.

Key takeaways

Suspect esophageal perforation in patients with known foreign body ingestion presenting with mediastinal fluid collections or abscesses.

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