. The American journal of roentgenology, radium therapy and nuclear medicine . hopand potatoes had a severe choking has been marked dysphagia sincethe accident, and inability to swallowanything but semi-fluids. Dr. Langereports: Fluoroscopic observation of theact of swallowing revealed no obstructionto the downward passage of bariumsuspension, but large opaque capsuleslodged in the esophagus about on a levelwith the first dorsal vertebra. The filmshows three capsules lodged above a X-Ray Diagnosis of Unusual Laryngotracheal Esophageal Conditions 549 transparent obstruction which is
. The American journal of roentgenology, radium therapy and nuclear medicine . hopand potatoes had a severe choking has been marked dysphagia sincethe accident, and inability to swallowanything but semi-fluids. Dr. Langereports: Fluoroscopic observation of theact of swallowing revealed no obstructionto the downward passage of bariumsuspension, but large opaque capsuleslodged in the esophagus about on a levelwith the first dorsal vertebra. The filmshows three capsules lodged above a X-Ray Diagnosis of Unusual Laryngotracheal Esophageal Conditions 549 transparent obstruction which is partlyoutlined by a coating of barium left fromthe barium suspension. It seems thatthe watery suspension of barium passes theobstruction freely, but the capsules donot. In this manner the site, and to aconsiderable extent the size, of the foreignbody, which proved to be a large piece ofmeat, could be clearly determined. Case IV. Seen in consultation withDr. A. Friedlander, is even more interest-ing. A boy, aged six, swallowed lye twovears before we saw him. Since that tune. Fig. 3. Three barium capsules lodged above trans-parent obstruction which is partially outlined by acoating of barium left from the barium suspension. he has had more or less difficulty inswallowing. Seventeen days before hewas brought to us he told his mother thathe had swallowed an orange seed. Sincethat time he had been unable to retainany food, not even water, and vomitedalmost immediately after eating. He hadlost about 12 lbs. X-ray examination byDr. S. Brown showed that opposite the9th rib posteriorly there was a markedstenosis of the esophagus with a sausage-like dilatation above, and with the barium trickling through in a very thin streambelow this point. Upon close scrutiny itappeared to me that there was a fillingdefect in the esophagus at the point ofconstriction, which I ventured to suggestmight be due to the presence of the orangeseed. The diagnosis then was Strictureof the esophagus, obstructe
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