2705 results
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
remind you of Achalasia ... distinguish it from achalasia ... cxr #clinical #radiology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... suggestive of end stage achalasia ... #Achalasia #Classification ... #Types #radiology
There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined
diagnosis was achalasia ... #Clinical #Radiology ... #CXR #Achalasia
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
#Clinical #Radiology ... #CXR #CTChest #Achalasia
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Motility Disorders Achalasia
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Systemic Sclerosis, Achalasia
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Scleroderma • Achalasia
Atrial Myxoma on Cardiac MRI

Dr. Jacobo Kirsch
@kirschj

#Atrial #Myxoma #CardiacMRI #Cardiology #Clinical #Radiology
Myxoma #CardiacMRI #Cardiology ... #Clinical #Radiology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
scleroderma, MCTD, achalasia