← All decks
The first 25 slides, exactly as they appear. The full deck has 128 content slides.
Radiology
Pharynx and Esophagus
Built from Fundamentals of Diagnostic Radiology
What’s inside
11 sections · 128 slides
Imaging methods
Barium studies and cross-sectional imaging
- Barium studies of the pharynx and esophagus
- How a pharyngogram is performed
- How the esophagus is studied
- Cross-sectional imaging — CT and MR
Anatomy
Pharynx, esophagus, and the gastroesophageal junction
- The three parts of the pharynx
- Pharyngeal surface landmarks
- Double-contrast pharyngogram
- The esophagus — wall and muscle
- Normal esophageal folds and the feline pattern
- Cross-sectional anatomy of the esophagus
- Landmarks of the gastroesophageal junction
- The lower esophageal sphincter
- Anatomy of the gastroesophageal junction
- The esophageal hiatus and diaphragmatic crura
Normal swallowing and motility
The three phases and esophageal peristalsis
- Swallowing in three phases
- The oral and pharyngeal phases
- How the airway is protected
- Primary and secondary peristalsis
- Tertiary waves
Motility disorders
Dysphagia, aspiration, achalasia, spasm, and GERD
- Swallowing disorders — scope and symptoms
- Dysphagia and where symptoms point
- Causes of pharyngeal swallowing dysfunction
- Aspiration and laryngeal penetration
- Aspiration
- Cricopharyngeal achalasia (cricopharyngeal bar)
- Achalasia — the classic triad
- Achalasia — presentation and imaging
- Achalasia
- Achalasia mimics at a glance
- Chagas disease — an achalasia mimic
- Carcinoma of the GEJ — an achalasia mimic
- Pseudoachalasia — carcinoma of the esophagus
- Diffuse esophageal spasm — what it is
- Diffuse esophageal spasm — imaging
- Diffuse esophageal spasm
- Neuromuscular disorders
- Scleroderma — what it is
- Scleroderma — imaging
- Scleroderma
- Postoperative swallowing changes
- GERD — prevalence and mechanism
- How GERD happens
- GERD — symptoms and complications
- GERD findings on barium esophagram
- Hiatus hernia — definitions and prevalence
- Three types of hiatal hernia
- Sliding hiatus hernia
- Sliding hiatus hernia
- Paraesophageal and compound hernias
- Paraesophageal hiatal hernia
- Compound hiatus hernia
Outpouchings
Diverticula, sacculations, and pseudodiverticula
- Lateral pharyngeal diverticula
- Zenker diverticulum
- Zenker diverticulum
- Killian-Jamieson diverticulum
- Killian-Jamieson diverticulum
- Pulsion versus traction diverticula
- Pulsion diverticulum
- Traction diverticulum
- Epiphrenic diverticula
- Epiphrenic diverticula
- Sacculations and intramural pseudodiverticula
- Reflux esophagitis — sacculations
Esophagitis
Reflux, Barrett, and infectious causes
- Esophagitis — detection and signs
- Ulcer size points to the cause
- Causes of esophageal wall thickening
- Reflux esophagitis (RE)
- Reflux esophagitis — ulcers and complications
- Reflux esophagitis on CT
- Barrett esophagus
- Barrett esophagus
- Infectious esophagitis — overview
- Candida esophagitis
- Candida esophagitis
- Herpes esophagitis
- Cytomegalovirus and HIV esophagitis
- Cytomegalovirus esophagitis
- Tuberculous esophagitis
- Tuberculous esophagitis
- Drug-induced esophagitis
- Drug-induced esophagitis — feline esophagus
- Corrosive ingestion
- Crohn disease and radiation esophagitis
Esophageal stricture
Benign and malignant narrowing
- Strictures — definition and causes
- Reflux stricture and Schatzki ring
- Benign stricture from reflux esophagitis
- Nasogastric tube stricture
- Nasogastric intubation stricture
- Barrett and corrosive strictures
- Alkaline reflux and eosinophilic esophagitis
- Radiation and neoplastic strictures
- Malignant stricture
- Long stricture from esophageal carcinoma
- Esophageal webs
- Esophageal web
- Extrinsic compression
Enlarged esophageal folds
Esophagitis, varices, and mimics
- Enlarged folds — esophagitis
- Varices
- Varices
- Uphill versus downhill varices
- Other causes of enlarged folds
Mass lesions and filling defects
Pharyngeal and esophageal neoplasms
- Pharyngeal carcinoma
- Carcinoma in the piriform recess
- Pharyngeal retention cysts and lymphoma
- Esophageal carcinoma — cell types
- Esophageal carcinoma — four imaging patterns
- Esophageal carcinoma — patterns in detail
- Polypoid squamous cell carcinoma
- Esophageal carcinoma — staging
- Esophageal adenocarcinoma on CT
- Adenocarcinoma at the GEJ
- Adenocarcinoma in Barrett esophagus
- Leiomyoma
- Leiomyoma of the esophagus
- Fibrovascular polyps and duplication cysts
- Esophageal duplication cyst
- Extrinsic lesions and aberrant right subclavian artery
- Aberrant right subclavian artery
Esophageal perforation and trauma
Perforation, Boerhaave, and foreign bodies
- Esophageal perforation
- Perforation — CT and trauma
- Esophageal perforation
- Boerhaave syndrome and Mallory-Weiss tear
- Foreign-body impaction
- Food impaction
Takeaways
Patterns that guide the barium study
- Key takeaways
- Suggested readings
- Suggested readings (continued)
- Brant and Helms' Fundamentals of Diagnostic Radiology