Barium swallow aspiration

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

History of a stroke three years ago referred with recurrent aspiration and pneumonia.

Patient Data

Age: 80 years
Gender: Male
Fluoroscopy

Lateral and oblique images show pooling of contrast in the pharynx with the aspiration of the barium contrast into the airway and inside the bronchial tree.

Evidence of oesophagal dysmotility also is seen.

The prominent aortic arc with pressure effect on the thoracic oesophagal barium column is noted.

Thoracic vertebral degenerative changes as endplate sclerosis and marginal osteophyte formation also are seen.

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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