Presentation
Recent difficult intubation (anaethetist used bougie). Developed signficant CO2 retention which dramatically improved with neck extension.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Newly developed mediastinal mass (not present on CT 3 months earlier), which is seen as an elongated well-circumscribed non-enhancing space-occupying lesion with an average density of 50 HU, displacing the NG tube anteriorly to the left and compressing the trachea and carina. Mild bilateral pleural effusion.
Imaging appearance consistent with an esophageal intramural hematoma.
Case Discussion
Endoscopically confirmed as above. Recent 10 days interval scan showed mild reduction in size of the said hematoma.