CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 2Extrinsic Impressions on the
Cervical Esophagus

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig GI 2-1 Three
impressions on the
cervical esophagus:
cricopharyngeal
impression (curved
arrow), pharyngeal
venous plexus (short
closed arrow), and
esophageal web (short
open arrow).2

4. • Fig GI 2-2
Epidermolysis bullosa.
A stenotic web (arrow)
results from the
healing of
subepidermal blisters
involving the mucous
membranes.

5. Fig GI 2-3 Benign mucous
membrane pemphigus. Post
inflammatory scarring causes a
long, irregular area of narrowing
suggestive of a malignant
process.

6. • Fig GI 2-4 Anterior
marginal osteophytes.

7. • Fig GI 2-5 Enlargement
of the thyroid gland.
Smooth impression in
the cervical esophagus
(arrow).

8. Fig GI 2-6 Ectopic gastric mucosa. Persistent ring-like narrowing (arrows) in the upper
esophagus at the level of the thoracic inlet.3