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Radiology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(9):1010.
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Diagnosis: Migrating esophageal fish bone complicating a right paraesophageal abscess
A neck x-ray film showed a linear opacity anterior to the vertebrae at the C6 level (Figure 1, arrow) with marked soft tissue swelling and a loss of cervical lordosis, leading to the tentative diagnosis of esophageal foreign body.1 Rigid endoscopy failed to find any foreign body in the esophagus, and there were persistent symptoms suggesting the presence of a migrating foreign body. An axial CT scan of the neck showed a 3-cm-long, thin, linear hyperdensity pointing to the right thyroid gland laterally in the right paraesophageal space (Figure 2). Increased soft tissue density with heterogeneous enhancement in the right paraesophageal space, extending to the right paratracheal space, was also evident (Figure 3). A whitish, sharp-ended fish bone was found in the right paraesophageal space and removed during the lateral neck exploration. The fish bone was embedded beneath the right lobe of thyroid gland . . . [Full Text of this Article]
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Radiology Quiz Case 1
Wu-Chia Lo, Chung-Han Hsin, Shiann-Yann Lee, and Po-Wen Cheng
Arch Otolaryngol Head Neck Surg. 2008;134(9):1008.
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