... cervical lymphadenopathy.Abdominal and cardiac examinations were unremark-able. He had normal oxygen saturation in room air andhis chest was clear.Laboratory tests showed a white cell count of ... media.Radiology 1997, 202:683-686.6. Kamiyoshihara M, Kakinuma S, Kusaba T, Kawashima O, Kasahara M,Koyama T, Yoshida T, Morishita Y: Occult Boerhaave’s syndrome withoutvomiting prior to presentation. ... secondary to infection of themediastinum, pericardium or lung parenchyma, and isparticularly associated with mechanical ventilation, softtissue infections and underlying pathology of the tra-chea,...