EURORAD ESR

Case 9420

DISH-induced dysphagia

Author(s)
Perdikakis E, Karvelis I
Dpt of Radiology-Dpt of Otolaryngology, 412 General Military Hospital, Greece
 
Patient
male, 84 year(s)
 
 
  • Figure 1
    Fiberoptic endoscopic evaluation

    The fiberoptic endoscopic evaluation of swallowing shows severe pharyngeal narrowing due to anterior displacement of the posterior pharyngeal wall (thick arrow). Note proximity of the epiglottis with the protruded...

     
    Area of Interest: Anatomy; Procedure: Endoscopy;
     
     
  • Figure 2
    Fiberoptic endoscopic evaluation

    The fiberoptic endoscopic image demonstrates severe pharyngeal narrowing due to anterior displacement of the posterior pharyngeal wall (thick arrow) and epiglottic impingement upon the protruded mucosa (thin arrow).

     
    Area of Interest: Anatomy; Procedure: Endoscopy;
     
     
  • Figure 3
    CT scanogram
     

    The CT scanogram shows diffuse thick prevertebral ossification (arrows) of the cervical spine.

     
    Area of Interest: Spine; Imaging Technique: CT;

    The CT scanogram shows diffuse thick prevertebral ossification (red line) of the cervical spine (white dot-line shows the anterior cervical line).

     
    Area of Interest: Spine; Imaging Technique: CT;
     
     
  • Figure 4
    CT examination
     

    The axial contrast enhanced CT images demonstrate large projecting osteophytes that substantially decrease the pharyngeal space (arrows).

     
    Area of Interest: Spine; Imaging Technique: CT;

    The axial contrast enhanced CT images demonstrate large projecting osteophytes that substantially decrease the pharyngeal space (arrows).

     
    Area of Interest: Spine; Imaging Technique: CT;

    The axial contrast enhanced CT images demonstrate the proximity of the epiglottic tip (thin arrow) with the anteriorly projecting cervical ossifications (thick arrows).

     
    Area of Interest: Anatomy; Imaging Technique: CT;
     
     
  • Figure 5
    Radiologic-endoscopic findings
     

    Schematic presentation of CT findings. The area in red line shows the vertebral body, the area in blue the projecting osteophyte and the area in black the associated stenotic pharyngeal space.

     
    Area of Interest: Anatomy; Imaging Technique: CT;

    Radiologic-endoscopic correlation of findings.

     
    Area of Interest: Anatomy; Imaging Technique: CT; Procedure: Endoscopy; Special Focus: Swallowing disorders;
     
     
The fiberoptic endoscopic evaluation of swallowing shows severe pharyngeal narrowing due to anterior displacement of the posterior pharyngeal wall (thick arrow). Note proximity of the epiglottis with the protruded mucosa (thin arrow).
 
The fiberoptic endoscopic image demonstrates severe pharyngeal narrowing due to anterior displacement of the posterior pharyngeal wall (thick arrow) and epiglottic impingement upon the protruded mucosa (thin arrow).
 
The CT scanogram shows diffuse thick prevertebral ossification (arrows) of the cervical spine.
 
The CT scanogram shows diffuse thick prevertebral ossification (red line) of the cervical spine (white dot-line shows the anterior cervical line).
 
The axial contrast enhanced CT images demonstrate large projecting osteophytes that substantially decrease the pharyngeal space (arrows).
 
The axial contrast enhanced CT images demonstrate large projecting osteophytes that substantially decrease the pharyngeal space (arrows).
 
The axial contrast enhanced CT images demonstrate the proximity of the epiglottic tip (thin arrow) with the anteriorly projecting cervical ossifications (thick arrows).
 
Schematic presentation of CT findings. The area in red line shows the vertebral body, the area in blue the projecting osteophyte and the area in black the associated stenotic pharyngeal space.
 
Radiologic-endoscopic correlation of findings.
 
 
 
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