With Contrast Media

FIG.17(16 and 17)

Fig. 1 7-24 Spot-film studies showing esophageal varices.

Fig. 1 7- 1 6 AP esophagus, single-contrast

Fig. 17(22)

study.

Fig. 1 7 - 1 7 Lateral esophagus, singlecontrast

study

Fig.17(23 and 24)

Fig. 1 7-22 PA oblique esophagus, RAO position.

single-contrast study showing tear in
esophageal lumen (arrow) and lesion partially
obstructing esophagus (arrowheads).

Fig.17(28,29)

Fig. 1 7-23 PA oblique proximal esophagus,

RAO position, double-contrast spot film.

Fig. 1 7-28 Hypotonic duodenogram showing deformity of

duodenal
diverticulum by small carcinoma of head of pancreas

(arrow).

Fig. 1 7-29 Hypotonic duodenogram showing multiple

defects
(arrows) in duodenal bulb and proximal duodenum, caused
by
hypertrophy of Brunner's glands.

Fig. 1 7-35 Hyposthenic patient.

FIG.7(33,34,35,36)

Fig. 1 7-36 Asthenic patient.

FIG.15(6,7,8,9)
Fig. 1 7-33 Hypersthenic patient.

Fig. 156 Lateral pharyngeal tonsil demonstrating hyper

trophy (arrows).

Fig. 1 7-34 Sthenic patient.

Fig, 1 5-8.

FIG.15(12,13,14,15,16,17,18,20,21,22,3
6,37)

Fig. 1 57 Lateral nasopharyngogram.

Fig. 1 5- 1 2 Lateral projection with exposure

made at peak of laryngeal elevation.
Hyoid bone (white arrow) is almost at level
of mandible. Pharynx (between large arrows)
is completely distended with barium.

Fig. 1 5-8 SMV nasopharyngography. right ninth nerve sign.

Note
the asymmetry of the nasopharynx, with ftattening on the
right
and presence of irregularity (arrows).

Fig. 1 5- 13 AP projection of the same patient

as in Fig. 1 5- 1 2. Epiglottis divides bolus
into two streams, filling the piriform recess
below. Barium can also be seen entering
upper esophagus.

Fig. 1 5-9 Lateral nasopharyngography, right ninth nerve

sign, lateral
projection shows a mass in the posterior aspect of the
nasopharynx
(arrow) with an umbilication in the same patient as in

Fig. 1 5- 1 4 AP projection of pharynx and upper esophagus

with barium. A, Head was

turned to right. with resultant asymmetric filling of pharynx.
Bolus is passing through left piriform
recess, leaving right side unfilled (arrow). B, Lateral
projection after patient swallowed

barium, showing a diverticulum

Slightly later,

(arrow). C, Lateral projection made

showing only filling of upper esophagus.

Fig. 1 5- 1 5 A, Ordinary dark shoelace has been tied snugly

around patient's neck above
the Adam 's apple. B, Exposure was made at peak of
superior and anterior movement of
larynx during swallowing. At this moment the pharynx is
completely filled with barium,
which is the ideal instant for making x-ray exposure. C, Double-exposure
photograph emphasizing
movement of Adam's apple during swallowing. Note extent
of anterior and superior
excursion (arrows).

Fig. 1 5- 1 8

AP

projection during phonation of e-e-e.

20
22

21

Fig. 1 5-20 AP projection, inspiratory phonation,

Fig. 1 5- 1 6

AP

projection during inspiration.

showing laryngeal ventricle (horizontal

black arrows), true vocal folds (white arrows),
and piriform recesses (black arrowheads

Fig. 1 5-21 AP projection demonstrating

true Valsalva's maneuver and
showing closed glottiS (arrow).

Fig. 1 5-22 AP projection, demonstrating

modified Valsalva's maneuver showing airfilled
piriform recesses (arrows).

Fig. 1 5- 1 7
inspiration.

AP

projection linear tomogram during

Fig. 1 5-36 Lateral pharynx and larynx during phonation

sthenic
hyposthenic

of e-e-e.

Asthenic
Fig. 1 6-4 Gallbladder (green) position varies with body

Fig. 1 5-37 Lateral pharynx and larynx during Valsalva 's

maneuver.

habitus. Note the extreme difference

in position of the gallbladder between the hypersthenic and
asthenic habitus.

FIG.14(6-15,19,21)

FIG.16-4

Hypersthenic

Fig. 1 4-6 Sialogram showing opacified submandibular

gland.

Fig. 1 4-7 Sialogram showing parotid gland in patient

without
teeth.

Fig. 1 4 1 0 Tangential parotid gland. An examination of

right
cheek area to rule out tumor reveals soft tissue fullness and
no
calcification.

Fig. 1 4-8 Tangential parotid gland. supine position.

Fig. 1 4- 1 1 Right cheek (arrow) distended with air in

mouth, same
patient as in Fig. 1 4- 1 0. No abnormal finding in region of
parotid
gland.

Fig. 1 4-9 Tangential parotid gland. prone position.

Fig. 1 4- 1 4 Tangential parotid gland showing

opacification.

Fig. 1 4- 1 5 Lateral submandibular gland.

Fig. 1 4- 1 2 Tangential parotid gland, with

right cheek distended with air. Considerable

calcification is seen in region of parotid
gland (arrows)
.

Fig. 1 4- 1 9 Axial submandibular and sublingual

Glands

Fig. 1 4- 1 3 Tangential parotid gland showing opacification.

Fig. 1 4-21 Axial submandibular and sublingual

glands. Calcification (arrow) is seen in
the sublingual region.