Demographics:
3 years old, Female
Indication:
Choking, history of esophageal atresia repair
Findings
- Patulous, gas-filled esophagus with gradual tapering distally near the gastroesophageal junction. Lobular soft tissue density in the mid esophagus
- No focal airspace opacification, pleural effusion, or pneumothorax
- Borderline enlargement of the cardiothymic silhouette
- Right aortic arch
Diagnosis
Impacted food bolus
Right aortic arch
Sample Report
Patulous, gas-filled esophagus with gradual tapering distally near the gastroesophageal junction. Lobular soft tissue density in the mid esophagus is concerning for impacted food bolus.
No focal airspace opacification, pleural effusion, or pneumothorax.
Borderline enlargement of the cardiothymic silhouette. Right aortic arch. Consider cardiology referral if this finding has not been previously evaluated.
Discussion