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(a) A 40-year-old female patient status post sleeve gastrectomy day eight presented with vomiting and abdominal pain. Frontal chest radiograph showing localized pocket of air with air/fluid level at left sub diaphragm (black arrow). (b) Abdominal radiograph showing localized pocket of air with air/fluid level at left sub diaphragm (black arrow). (c) Coronal CT abdomen showing large air collection at left sub diaphragm indicating gastric leaks.
