Drug-Induced Esophagitis

Published on 19/07/2015 by admin

Filed under Radiology

Last modified 19/07/2015

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 Aortic arch, left main bronchus, retrocardiac

• Findings on esophagram (double contrast)

image Solitary or localized cluster of tiny ulcers distributed circumferentially on normal background mucosa
image Punctate, linear, stellate, serpiginous, or ovoid; collections of barium on esophageal surface
image Longer areas of ulceration with potassium chloride, quinidine, biphosphonates, and in patients with cardiomegaly
image Mass effect surrounding ulcer due to edema and inflammation; can mimic ulcerated carcinoma
• Superficial ulceration

image Giant, flat ulcers are uncommonly seen

TOP DIFFERENTIAL DIAGNOSES

• Reflux esophagitis
• Viral esophagitis
• Esophageal carcinoma
• Barrett esophagus

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