Presentation
Cough, fever. CT to evaluate for COVID pneumonia.
Patient Data
Age: 70 years
Gender: Male
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Non-contrast CT shows linear fibrosis in upper lobe of right lung. Upper third of thoracic esophagus forms polygonal-formed traction diverticula at this level.
There are subpleral zones of ground-glass opacity in both lungs which consistent with COVID-19 pneumonia. No pleural effusion.
No mediastinal mass or mediastinal lymphadenopathy.
From the case:
Traction esophageal diverticulum
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Curved linear images demonstrate traction diverticula on right aspect of upper thoracic esophagus.
Case Discussion
CT shows a traction esophageal diverticulum secondary to scarring/fibrosis of RUL. It is a true diverticulum, i.e includes all esophageal layers.