 Scout image demonstrates a mid-esophageal stent as seen on prior CT. Pigtail catheter overlies the right hilar region. Surgical clips are present over the mediastinum. There is destruction of the T7, T8, and T9 vertebral bodies similar to prior CT and MRI studies. Cervical fusion hardware is present.Single contrast evaluation of the esophagus demonstrates oral contrast traversing both through the esophageal stent and to the left of the esophageal stent in the nonstented portion of the esophagus as seen on recent CT. There is contrast extravasation originating from the posterior mid esophagus at the level of the distal portion of the stent best seen on cine clip series 8. The contrast extravasation approaches the pigtail catheter, however, no contrast is present in the pigtail catheter. No additional fistulae/sinus tracts are visualized.
Contrast extravasation originating from the posterior midesophagus consistent with a persistent leak. The contrast extravasation approaches the existing right perihilar pigtail catheter.Findings discussed by telephone with the clinical service, Dr. Boyle, at 3:45 PM on 12/30/2016.