43-year-old female, OPM shows extrinsic compression, need further evaluation. Evaluate esophagus. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed a left-sided extrinsic mass effect upon the lower cervical esophagus and thoracic inlet which corresponds to the patient's known mass seen on prior MRI (series 301, image 8). No communication was noted to the esophagus. No evidence of esophageal diverticulum, web or cricopharyngeal bar. The esophagus was intrinsically normal. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic evaluation of esophageal peristalsis demonstrated mild proximal escape on one swallow. Barium pill passed spontaneously.TOTAL FLUOROSCOPY TIME: 5:24AIR KERMA: 54.4 mGy
1. Intrinsically normal esophagus with left-sided extrinsic mass effect upon the lower cervical esophagus and thoracic inlet which corresponds to the patient's known mass seen on prior MRI and CT. 2. Mild esophageal motor abnormality.