Barium swallow aspiration

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

History of a stroke 6 months ago referred with recurrent aspiration and pneumonia.

Patient Data

Age: 80 years
Gender: Male
Fluoroscopy

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

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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