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Radiology General eda286d5

On barium swallow which of the following will cause posterior impression -

A
Left atrium
B
Aortic knuckle
C
Pulmonary sling
D
Aberrant right subclavian artery
High-Yield Explanation
Aberrant right subclavian artery arises from aortic arch just distal to the left subclavian artery. It travels behind the esophagus and after crossing the esophagus (from left to right) it courses as the right subclavian artery. Aberrant right subclavian artery produces the classical appearance of a posterior impression on the proximal esophagus and left sided aortic arch impression (as it arises from left side of aortic arch) on barium swallow. Plain Radiograph with barium swallow Aberrant right subclavian artery :-    i) Left sided aortic arch impression  ii) Posterior impression on esophagus Aberrant left subclavian artery :-      i) Right sided aortic arch impression ii) Posterior impression on esophagus iii) Anterior displacement of esophagus iv) Compression of trachea

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