PMC3201108_01
CT of neck with IV contrast (bone window) showing anterior flowing of bridging osteophytes (arrows) from C3-C6, indicative of DISH.
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CT of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, causing esophageal impingement (Fig. 1).
MRI of neck with gadolinium showing anterior flowing of bridging osteophytes (arrows) from C3-C6 consistent with DISH, C3-C6 spinal stenosis and degenerative changes at C3-C4.
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He also had a MRI of the neck with gadolinium that showed anterior flowing of bridging osteophytes from C3-C6 consistent with diffuse idiopathic skeletal hyperostosis, C3-C6 spinal stenosis and degenerative changes at C3-C4 (Fig. 2).
Post-operative esophagram showing residual dysphagia (arrow) [fluid entering esophagus and trachea] and anatomical correction of osteophytes.
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Although post-operative radiological studies showed an anatomical improvement, an esophagram revealed residual dysphagia (Fig. 3).