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October 1971

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103; The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1971;94(4):376-379. doi:10.1001/archotol.1971.00770070568019

PATHOLOGIC QUIZ CASE 1  Howard W. Smith, MD, DMD; Eiji Yanagisawa, MD; and Bruce Hagadorn, MD, New Haven, ConnA 70-year-old white woman rejoined her church choir after an absence of many years. She noted that she could no longer sing in the same register as before and because of this sought the advice of her family physician. Results of her general physical examination were essentially unremarkable; her physician, however, ordered a chest x-ray and barium swallow and referred her to an otolaryngologist. Results of the examination by the otolaryngologist were normal with no clinical evidence of disease in the larynx or neck. Her speaking voice was normal. The chest x-ray film was normal but the barium swallow was reported to be abnormal (Fig 1). Hospital admission was advised and a diagnostic esophagoscopy was scheduled. A plain film was taken (Fig 2). What is your diagnosis?


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