[00:00.000 --> 00:28.000]  There's the gastrostomy tube in the body of the stomach.
[00:28.000 --> 00:51.000]  drainage in place around the distal esophagus
[00:51.000 --> 01:16.000]  There is near complete right lower lung and left lower lobe atelectasis and small left pneumothorax is present
[01:16.000 --> 01:19.000]  There is no left lower lung.
[01:22.000 --> 01:49.000]  Effusions are present.
[01:49.000 --> 02:04.000]  There is a stable line along the distal esophagus and proximal stomach.
[02:04.000 --> 02:21.000]  There is a hyperdense fluid collection in the left esophageal, mediastinal mass containing hyperdense fluid.
[02:21.000 --> 02:30.000]  This appears directly contiguous with the possible Senna.
[02:30.000 --> 02:58.000]  There is also a smaller air and fluid collection along the right side of the distal esophagus.
[02:58.000 --> 03:27.000]  The liver, adrenal glands, spleen, pancreas are unremarkable.
[03:27.000 --> 03:35.000]  Small hyperdensities are noted in the right kidney that are too small to characterize.
[03:35.000 --> 03:48.000]  The left kidney is unremarkable.
[03:49.000 --> 03:53.000]  chronic fat stranding is present in the midline of the upper abdomen.
[03:53.000 --> 04:07.000]  Oral contrast is present in the colon.
[04:07.000 --> 04:11.000]  osseous structures are unremarkable.
[04:11.000 --> 04:15.000]  Impression number one.
[04:15.000 --> 04:27.000]  fluid collections along the left and right side of the distal esophagus or proximal stomach likely represent anastomotic leak.
[04:27.000 --> 04:29.000]  Impression number two.
[04:29.000 --> 04:40.000]  Small bilateral pleural effusions, right greater than left resulting in near complete lower lobe collapse. Acute testing.
