FINDINGS:
As compared to the previous radiograph, the patient has received an
 esophageal stent.  The stent is in correct position according to radiographic
 criteria.  The patient, however, developed free intra-abdominal air.
 
 The monitoring and support devices are unchanged, with the exception of the
 nasogastric tube, this has been removed.
 
 The parenchymal opacities seen in both lungs, right more than left, have not
 substantially changed.
 
 The observation of free intra-abdominal air was made at 7:28 a.m., , at the time of dictation.  At this same time point, the referring
 physician, . , covered by Dr. , was paged for notification and
 the findings were subsequently discussed over the telephone.