A 49-year-old man is brought to emergency by his wife 30 minutes following abrupt-onset abdominal pain where he feels like he was “kicked in the abdomen.” He has a history of abdominal pain after meals for which he takes over-the-counter antacids. Vitals are: temperature 100F, HR 90, RR 16, BP 150/95. An x-ray of the chest is shown. Which of the following is the most likely diagnosis?
Duodenal hematoma
Hemothorax
Perforated viscus
Pneumobilia
Pneumothorax
Good