Barium aspiration

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Parkinson disease and swallowing difficulty.

Patient Data

Age: 80 years
Gender: Male
Fluoroscopy

Aspiration of barium into the airway and right bronchial tree.

Esophageal dysmotility.

Degenerative changes as endplate sclerosis and marginal osteophyte formation along with the dorsal spinal column

Median sternotomy.

Case Discussion

The fluoroscopic study is the imaging modality of choice for the investigation of dysphagia. It represents a good non-invasive, rapid and cost-effective diagnostic exam, and can show esophageal morphology, distensibility, and contractility.

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