Abstract
A 50-year-old man presented to the physician for investigation of dyspnea. A chest roentgenogram showed bilateral lower lobe infiltrate (Fig 1,black arrows), and the result of a sputum culture was negative. Interstitial pneumonitis was diagnosed, and steroid therapy was commenced. He also had hoarseness and choking, and therefore a video fluoroscopic swallow study was performed that showed contrast leakage from the esophagus into mediastinum (Fig 1, white arrows). Computer tomography showed an air–fluid collection beside the trachea (Fig 2,white arrow shows the collection and black arrow shows a nasogastric tube in the esophagus).
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