Intended for healthcare professionals

Student Education

Radiology Quiz

BMJ 2001; 322 doi: (Published 01 June 2001) Cite this as: BMJ 2001;322:0106190
  1. Ian C Bickle, fourth year medical student1,
  2. Barry Kelly, consultant radiologist2
  1. 1Queen's University, Belfast
  2. 2Royal Victoria Hospital, Belfast

Case history

This 68 year old ex-publican presented to his GP complaining of difficulty swallowing for the past two months. The difficulty started several weeks ago with solids getting “stuck,” but had become steadily worse. He also complained more recently of pain on swallowing. Over the past three months he admitted to losing 10 kg in weight. He has a history of alcohol dependency and smokes 40 cigarettes a day.

His GP sent him to hospital for the urgent procedure seen below.


  • (1) What type of radiological procedure has been undertaken on this man and what does it entail for the patient?

  • (2) Describe the pathological findings apparent on this film.

  • (3) What is your differential diagnosis and what may help in confirming your findings?

  • (4) …

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