CTICasesBoerhaave Syndrome
Imaging findings
Subtle mediastinal air on a frontal chest radiograph that required careful windowing to visualize; cross-sectional imaging confirmed extensive mediastinal air and esophageal rupture.
Key takeaways
Always adjust window settings on chest radiographs when clinical history (chest/abdominal pain) suggests potential esophageal pathology, as mediastinal air can be easily overlooked.
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