Dysphagia lusoria

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Dysphagia

Patient Data

Age: 60
Gender: Female
ct

Left sided aortic arch with aberrant right subclavian artery is seen extrinsically indenting the posterior wall of the upper thoracic esophagus; it's also mildly indented by tortuous proximal left common carotid artery crossing along its left lateral aspect. 

Asymmetric mild enlargement of both lingual & palatine tonsils, more on the right.

Annotated image

Left sided aortic arch with aberrant right subclavian artery is seen extrinsically indenting the posterior wall of the upper thoracic esophagus; it's also mildly indented by tortuous proximal left common carotid artery crossing along its left lateral aspect. (Arrows)

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