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ENT NEET Jan 2020 a2b24aaf

A 70 year old patient presented with history of fever, repeated aspiration and coughing in the night. On examination there is a swelling on left side of neck which produces gurgling sound on compression. Following is the barium swallow study of the patient. What is the most likely diagnosis?

A
Zenkers diveiculum
B
Laryngocoele
C
Plummer vinson syndrome
D
Dysphagia Lusoria
High-Yield Explanation
Zenker's Diveiculum -patient present with intermittent dysphagia, regurgitation of food and foul smelling breath later on progressive dysphagia progressive. Laryngocele is an air-filled cystic swelling due to dilatation of saccule it is a diveiculum of mucous membrane which stas from the anterior pa of ventricular cavity and extends upward between vestibular folds and lamina of thyroid cailage ,abnormally enlarges to forms the air containing sac - Laryngocele.

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