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