Presentation
Chest pain for investigation.
Patient Data
Age: 50 years
Gender: Male
From the case:
Ivor Lewis procedure
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Opacity projecting over the paraspinal region with mediastinal clips are noted.
Case Discussion
Chest x-rays post Ivor Lewis procedures (distal esophagectomy with gastric pull-up) can have a variety of appearances. The only true clue here are the mediastinal surgical clips with the classic air-fluid absent.