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  Vol. 130 No. 1, January 2004 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Maura K. Cosetti, BS; Jonathan C. Smith, MD; Barton F. Branstetter, MD; Robert L. Ferris, MD, PhD
University of Pittsburgh Medical Center, Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 2004;130:117.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 54-year-old man with a history of 3 cervical spine fusion procedures presented with postoperative dysphagia. Although he stated that he had experienced some mild difficulty in swallowing solids over the previous 5 months, his dysphagia had significantly worsened 1 week after his most recent spinal fusion procedure. Physical examination of his fixed and rigid neck showed well-healed midline posterior and left anterior scars. Fiberoptic laryngeal examination showed only moderate posterior glottic edema, which was thought to be the result of intubation trauma. The findings of his physical examination were otherwise unremarkable.

The initial radiographic study was a barium esophagram that did not indicate obstructive or functional abnormalities of the esophagus. Because the esophagram was nondiagnostic, a contrast-enhanced computed tomographic scan of the neck and chest was obtained Figure 1 and Figure 2 . . . [Full Text of this Article]


RELATED ARTICLE

Radiology Quiz Case—Diagnosis
Arch Otolaryngol Head Neck Surg. 2004;130(1):118-119.
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