Tuesday, December 28, 2010

Picture Diagnosis






Answer: The V-sign of Naclerio

The V-sign of Naclerio (see Arrows) is present in about one fourth of patients with esophageal perforation. These are radiolucent streaks of air that dissect the fascial planes behind the heart to form the shape of the letter V. It is a fairly specific radiographic sign of esophageal perforation.

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