Abstracts

RETURN TO ABSTRACT LISTING


E1271. CT Evaluation of the Esophagus: The Role of Imaging and CT Imaging Findings in Diagnosing Common Esophageal Abnormalities
Authors
  1. Javad Azadi; Johns Hopkins University School of Medicine
  2. Mary Buchanan; Johns Hopkins University School of Medicine
  3. Sahar Soleimani; Johns Hopkins University School of Medicine
  4. Christopher Toote; Johns Hopkins University School of Medicine
  5. Elliot Fishman; Johns Hopkins University School of Medicine
Background
Esophageal disorders range from the very common reflux esophagitis to worrisome primary esophageal malignancies. When present, symptoms from esophageal disorders may vary from mild to severe including dysphagia and chest pain. CT Chest can provide a detailed, non-invasive evaluation of the esophagus. We will review the most common presentations of esophageal abnormalities that may be seen on CT Chest evaluation.

Educational Goals / Teaching Points
Introduction to esophagus CT techniques and inflammatory/infectious esophageal abnormalities include: GERD, candida esophagitis, achalasia, Barrett’s esophagitis, and tracheoesophageal fistula. Congenital/structural esophageal abnormalities include: Iatrogenic injury, metallic stents, ingested materials, duplication cysts, and varices. Neoplastic esophageal abnormalities include: squamous cell carcinoma, adenocarcinoma,and other primary tumors and metastases.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The purpose of this exhibit is to review the spectrum of common esophageal abnormalities as seen on CT Chest, highlight imaging features that increase diagnostic certainty if differentiating esophageal abnormalities with overlapping imaging features, and include fluoroscopy correlation when available for each of the disorders discussed.

Conclusion
CT Chest can provide a detailed, non-invasive evaluation of the esophagus.