Downhill esophageal varices

PatientThis patient underwent upper endoscopy for dysphagia. This showed upper esophagealoesophageal varices and hence a CT scan of the chest was ordered.

Isolated upper esophagealoesophageal varix and none.  None in the lower esophagusoesophagus.

So CT scan of the chest was ordered.

1. SVC stenosis is noted.

2. Collaterals noted via collateral branches to the intercostal and inferior phrenic vein.

3. These are systemic to systemic collaterals and not systemic to portal collaterals.