CT
Axial lung window
Axial C+ arterial phase
Coronal lung window
No evidence to suggest aortic injury. No mediastinal hematoma.
There is a small amount of hilar interstitial emphysema and adjacent pneumomediastinum - vomiting induced pulmonary barotrauma suspected. However, further investigation is recommended to exclude an underlying
The small pneumomediastinum could be related to the known history of vomiting due to Macklin effect, however, there is suspected mild esophageal wall thickening at the level of the carina (6 mm) with some periesophageal slightly enhancing subcentimenter lymph nodes, likely reactive. If clinically indicated, correlation with endoscopy is suggested to rule out underlying esophageal tear.