A 2-year-old boy presented to the ER with stridor, shoness of breath and difficulty in swallowing. Patient also gave history of recurrent chest infections in the past for which the child was frequently hospitalized. Upper GI endoscopy was done and it was normal. Lab findings revealed normal studies. Chest x- ray What is the most likely diagnsosis: -
This is a case of Dysphagia lusoria due to aberrant right subclan aery. Chest x ray shows superior mediastinum widening. Barium study shows revealed persistent, smooth indentation of the posterior aspect of the upper thoracic esophagus at T4 level, suggesting external compression. CT shows the aberrant right subclan aery compressing the posterior wall of esophagus.
Achlasia cardia
Nutcracker esophagus
Diffuse esophageal spasm
Dysphagia lusoria
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