Presentation
Chronic cough.
Patient Data
Age: 70-year-old
Gender: Male
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No evidence of pulmonary consolidation to suggest infection. Pleural spaces are clear. The tubular structure along the right mediastinal contour with an air-fluid level within is likely a pulled up stomach (Ivor Lewis procedure).
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No features to suggest lung infection. Gastric pull-up procedure with an air-fluid/contrast level within.
Case Discussion
Classic case of Ivor Lewis procedure (also known as a gastric-pull up), a type of esophagectomy usually performed in patients with esophageal cancer.