Presentation
Mild chronic dysphagia.
Patient Data
Age: 80
Gender: Female
From the case:
Pharyngeal pouch
Frontal

Pharyngeal pouch showing an air-fluid level is projected at the superior mediastinum.
From the case:
Pharyngeal pouch
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Sagittal + Contrast

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.