History: Adult male with chest pain. This is a case of an esophageal bronchus, which is a congenital foregut abnormality sometimes also referred to as communicating bronchopulmonary foregut malformation. An esophageal bronchus typically feeds the medial basal segment of the right lower lobe and puts the patient at risk for recurrent pneumonia in that segment. … Continue reading
History: 50 year old male with a recent surgical intervention in the cervical esophagus. This patient was status post resection of his Zenker diverticulum a few days prior to the esophagram. When esophageal perforation is the clinical question, it is essential that the first portion of the esophagram be completed with water soluble contrast such … Continue reading
History: 50 year old male presents with difficulty swallowing, halitosis, and hoarseness. The differential diagnosis of a barium filled sac in the cervical esophagus essentially includes two types of diverticula. The first, and the diagnosis in this case, is a Zenker diverticulum. A Zenker diverticulum is a mucosal herniation through weak areas in the cricopharyngeal … Continue reading
History: 60 year old male with chest pain. Typical appearance of a large esophageal hiatal hernia containing stomach gas and liquid contents. There are two main types of esophageal hiatal hernias, sliding and paraesophageal.