A 62-year-old man presented with complaint of difficulty in swallowing for the last several months

A 62-year-old man presented with complaint of difficulty in swallowing for the last several months. He also noticed a mass in the neck that increases in size while taking food. His brother also mentioned about his bad breath odour and occasionally regurgitation of undigested food. Which of the following will be your most appropriate investigation to reach a diagnosis?

  • A. Bronchoscopy
  • B. Upper GI endoscopy
  • C. Neck mass biopsy
  • D. Contrast esophagram

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Answer: The correct answer is Contrast Esophargam

Description: The typical presentation of dysphagia with bad smell, regurgitation and neck mass are suggestive of Zenker diverticulum in which contrast esophagram is the diagnostic modality of choice as it clearly shows the diverticulum