Endgames Spot Diagnosis

Anatomy of a swallow

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3494 (Published 13 July 2015) Cite this as: BMJ 2015;351:h3494
  1. Stephen L Ball, specialty registrar and clinical research fellow in ear, nose, and throat surgery1,
  2. Puveendran Arullendran, consultant ear, nose, and throat surgeon2
  1. 1Institute of Cellular Medicine, Newcastle Medical School, Newcastle University, Newcastle upon Tyne NE2 4HH, UK
  2. 2Department of ENT Surgery, City Hospitals Sunderland, Sunderland, UK
  1. Correspondence to: S L Ball s.l.ball{at}ncl.ac.uk

Name the imaging modality used and the condition shown in fig 1.


The imaging modality used is a barium swallow investigation and it shows a pharyngeal pouch. An incidental note was made of fusion of the C5-C7 vertebrae.


The clinical presentation of a pharyngeal pouch …

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