Pharyngeal pouch

Case contributed by Andrew Dixon

Presentation

Mild chronic dysphagia.

Patient Data

Age: 80
Gender: Female
x-ray

Pharyngeal pouch showing an air-fluid level is projected at the superior mediastinum. 

Barium

Pharyngeal pouch containing contrast

ct

Phayrngeal pouch arising from the midline of the posterior wall of the distal pharynx near the pharyngoesophageal junction and showing an air-fluid level.

Case Discussion

Air-fluid level within midline of the thoracic inlet is seen on the CXR. Subsequent barium swallow and CT reveal large pharyngeal pouch.

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