Esophagram cases

Question 1

Answer 1

Barrett esophagus

Question 2

20 yoF with history of IBD

Answer 2

Crohn’s esophagitis

Question 3

Answer 3

Servere candidiasis

Shaggy esophagus

Question 4

AIDS patient

Answer 4

CMV esophagitis

Question 5

Answer 5

Achalasia

Question 6

Answer 6

Adenocarcinoma: lower esophagus (columnar cells)

• look for shouldering and irregularity

Question 7

Answer 7

Barrett with stricture

Question 8

Answer 8

Eosinophilic esophagitis: thickened transverse rings

contrast this to feline esophagus. Feline esophagus is characterized by thin diffuse transverse rings

Question 9

Answer 9

Diffuse esophageal spasm

Question 10

Answer 10

Esophageal Varices: serpentine filling defects

Typically uphill varices from portal hypertension (cirrhosis)

*will disapear when the esophagus is dilated due to increased pressure compressing the veins and pushing the blood out.

Question 11

Answer 11

Feline esophagus

**contrast this to eosinophilic esophagitis which is thickened transverse folds in the upper esophagus

Question 12

70 yo male with dysphagia.

Answer 12

Glycogen acanthosis

benign condition. occurs in older patients. incidental finding, not typically a cause of the dysphagia - look for another cause.

Question 13

Answer 13

Inflammatory polyp

Question 14

Answer 14

Fibrovascular polyp

Question 15

Answer 15

Large fibrovascular polyp

Question 16

Answer 16

Lateral pharyngeal pouches: normal in elderly patients

Question 17

Answer 17

Leiomyoma

Question 18

Answer 18

lye ingestion

long segment irregular narrowing

Question 19

pill is stuck in the lower esophagus

Answer 19

Schatzki ring

Question 20

40 yoF diabetic

Answer 20

Candida

Question 21

This vs. that

Answer 21

Question 22

this vs. that vs. the other thing

Answer 22

Question 23

this vs that

Answer 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

Answer 26

Question 27

Answer 27

right aberrant subclavian