CXR: 90% will have radiographic abnormalities, nonspecific in nature
Pneumomediastinum
Abnormal cardiomediastinal contour
Pneumothorax
Pleural effusion
Esophagram
Water soluble contrast
Preferred study as it allows for definitive diagnosis
CT chest
May show pneumomediastinum
Will not definitively show<unk> 
Emergent endoscopy
May worsen the tear during insufflation
Pneumomediastinum
Abnormal cardiomediastinal contour
Pneumothorax
Pleural effusion
Water soluble contrast
Preferred study as it allows for definitive diagnosis
May show pneumomediastinum
Will not definitively show<unk> 
May worsen the tear during insufflation
Esophageal perforation
Acute coronary syndromes 
Esophageal injury
STEMI
Esophageal spasm
Non-STEMI
Chylothorax
Unstable angina