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The CT study shows the following:
mural thickening of the distal oesophagus with contrast leak within the pleural spaces bilaterally indicating iatrogenic oesophageal perforation with oesophageal-pleural fistula
bilateral chest tubes with residual (hydro/pyo-pneumothorax) associated with compression atelectasis of the lung bases.
moderate dilatation of the oesophagus matching the patient’s known history of distal stricture
the contrast is seen reaching the stomach and opacifying its lumen