History: 85 yo male with difficulty swallowing
Solution: A cricopharyngeal bar is a posterior impression in the cervical esophagus which is caused by hypertrophy and/or fibrosis of the cricopharyngeus muscle. It most frequently occurs in the elderly. It can be seen transiently in up to 5% of patients without symptoms, but when it persists and is severe, it can be an important cause of dysphagia. Treatment can involve botox injection, dilatation and cricopharyngeal myotomy. Imaging findings in this case are characteristic.