Case Report

Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century

Figure 2

Contrast-enhanced CT scan of the thorax: (a) lung window, confirming pneumomediastinum (closed arrows), and (b) mediastinal window showing a tear in the right posterolateral wall of the distal oesophagus (arrowhead), bilateral pleural effusions (short arrows), massive retrocardiac collections, and a paracardial collection (open arrow) corresponding with the silhouette sign on chest X-ray.