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Case of the Week 482


What is the most likely diagnosis?

  • 63 year-old female with dysphagia



Video Swallowing Study

  1. Cricopharyngeal bar
  2. Cervical web
  3. Carcinoma of the esophagus
  4. Aspiration
  5. Fibrovascular polyp

Additional Images - One stop-action frame of study

 

Additional Images

 

One stop-action frame of video swallowing study


Answer:

 

2. Cervical web

 

More (Click Discussion Tab)

 

 

Cervical web

General Considerations 

  • Mucosal shelf projecting into the lumen of the esophagus most frequently from the anterior wall of proximal cervical esophagus at the level of cricopharyngeus (C5-C6)
    • Uncommon in distal esophagus
  • Usually seen in middle-aged adults, females greater than males
  • May or may not contain submucosa

MORE . . .

 


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This Week

63 year-old female with dysphagia
 
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The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.