Mild dysphagia and globus sensation in an older manBMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2106 (Published 18 May 2017) Cite this as: BMJ 2017;357:j2106
- Subramanian Nachiappan, radiology registrar,
- David C Howlett, radiology consultant
- Eastbourne District General Hospital, Eastbourne, UK
- Correspondence to
A 72 year old man presented with a three to four month history of non-progressive difficulty in swallowing and a globus sensation at the cervicothoracic level. Nasoendoscopy was normal. A chest radiograph was performed (fig 1⇓). What does it show?
The radiograph shows a right sided aortic arch (fig 2⇓, arrows) and unfolding of the ascending aorta: an example of a vascular ring.
Aortic arch abnormalities, also known as vascular rings, are often diagnosed in infancy or …