Follow»up case of esophageal perforation status post stenting and repair. Approx. 13mm long and 5. 5mm wide detect is seen in the nght lateral wall of lower dorsal esophagus (at the level of D7 vertebral body). The lumen of the esophagus is directly communicating with the right pleural space. Stent is present within the lower hall of the esophagus from the level of carina and extending distally into the stomach. Minimal orally administrated contrast is seen outside the stent in its left lateral aspect. The contrast appears to leak into the pleural space, _ Majority of the orally administrated contrast is passing distally into the gastnc tube (fol/ow-up case of sleeve gastrectomy ), No evidence of leakage of contrast seen from the stomach. The gastric tube appears grossly normal rn morphology. Proximal esophagous is normal in morphology. _ _ A Loculated collection of size about 11.2 x 5.3x 10cm is seen in the lower Palf 0ff1Ql1l pleural space. lntercostal drainage tube is seen in situ. for rs] preseniwrthln the C0/ISCIIOH The oral contrast leaked from the esophagus IS 0l16f{lfYl 9 f 9 C0 9° O - h Associated tibroatelectatic changes are seen in nght lower lobe lung parenc yma. Mild tibrotic changes are also seen in the lol? lower lobe. Rest ofthe lung parenchyma showi n0n;;:,;°,%|:1; ?1?e¥ect of size about 3.3 x 0.8cm is seen within the lumen of right A VPU hlch is causing partial luminal attenuation- suggestive of pulmonafl’ art? }’, v|;t 8 ears to extend into one ofthe segmental branches. thromboeI1 lb0/ 5” pp - hows grossly normal luminal enhancement, | Qnary arterial tree s , in Rest of the pu m ‘ I vascular stmctures are normal. Trachea and :ls ma A The heart & the msggzggf No evidence gf mediastinal lymphadenopathy seen, Hrlar h` I divisions ar ~ §;t$.Ir:$“:Ul{;S reveal normal morphology.