Images in Emergency Medicine Martin Rochford, MSc, MFAEM, Tom J. Kiernan, MD  Annals of Emergency Medicine  Volume 49, Issue 6, (June 2007) DOI: 10.1016/j.annemergmed.2006.10.011 Copyright © 2007 American College of Emergency Physicians Terms and Conditions

Figure 1 Anteroposterior chest radiograph showing pleural effusion, pneumomediastinum, and subcutaneous emphysema. Annals of Emergency Medicine 2007 49, DOI: (10.1016/j.annemergmed.2006.10.011) Copyright © 2007 American College of Emergency Physicians Terms and Conditions

Figure 2 Computed tomography of the chest with oral contrast, demonstrating a lower left esophageal tear with mediastinal leakage of oral contrast medium (arrow). Used with permission of Martin Rochford, MSc, MFAEM, the Department of Emergency Medicine, St. Vincent’s Hospital, Darlinghurst, Sydney, Australia. Annals of Emergency Medicine 2007 49, DOI: (10.1016/j.annemergmed.2006.10.011) Copyright © 2007 American College of Emergency Physicians Terms and Conditions