Procedure was done by administering barium sulphate suspension (250% w/v, 100ml) orally and fluoroscopic observation done. Filming done in Erect, AP and RAO, LAO positions and spot films of the upper and lower oesophagus taken.
FINDINGS:
The upper and mid-part of oesophagus was visualised while swallowing.
Abrupt contrast cut off noted in the distal third of the esophagus at the level of T8-9 vertebrae. On subsequent administration of diluted barium contrast no further passage of barium noted. Evidence of surface irregularity with nodular lesions along the anterior oesophageal wall noted at T6-7 vertebral level. Minimal oesophageal motility noted. Proximal part of oseophagus shows no significant dilatation.
No evidence of bowel/fundic gas shadows noted - s/o gasless abdomen
Abrupt contrast cut off noted in the distal third of the esophagus at the level of T8-9 vertebrae. On subsequent administration of diluted barium contrast no further passage of barium noted. Evidence of surface irregularity with nodular lesions along the anterior oesophageal wall noted at T6-7 vertebral level. Minimal oesophageal motility noted. Proximal part of oseophagus shows no significant dilatation.
No evidence of bowel/fundic gas shadows noted - s/o gasless abdomen
Laryngopharynx and upper esophagus is well delineated with barium.
Visualized extent of lungs appear normal.
Bony thoracic skeleton appears normal
Visualized extent of lungs appear normal.
Bony thoracic skeleton appears normal
IMPRESSION: In a case of corrosive ingestion. The current Barium swallow study reveals:
- Abrupt contrast cut off in the distal part of thoracic esophagus at the level of T8-9 vertebrae - Total oesophageal stricture
- Surface irregularity with nodular lesions along the anterior oesophageal wall
Dr Saarah khan