A patient comes to radiology for an esophagogram.The radiologist is concerned about the upper portion of the esophagus, near the level of T1, which did not visualize well on the previous routine projection-position esophagogram.Which of the following special projections and/or positions would be most helpful in demonstrating this region?

Question

Quizplus · Accepted Answer

The cervicothoracic (swimmer's) lateral position is the best choice for visualizing the upper portion of the esophagus, near the level of T1. This position allows for better differentiation between the esophagus and the trachea, and can help to separate the two structures, making it easier to see the upper portion of the esophagus. The soft tissue lateral and LAO projections are unlikely to be helpful for visualizing the upper esophagus, and the AP projection with a cephalad CR angle may not provide clear enough visualization of the region of interest.

A Patient Comes to Radiology for an Esophagogram