An x-ray (barium esophagogram) is the best initial imaging study in a patient suspected with Zenker’s Diverticulum (ZD). Findings on an x-ray (barium esophagogram) suggestive of esophageal diverticulum associated with ZD appear as thin projections on the anterior esophageal wall over the Killian’s triangle.

An x-ray (barium esophagogram) is the best initial imaging study in a patient suspected with Zenker’s Diverticulum (ZD). Findings on an x-ray (barium esophagogram) suggestive of esophageal diverticulum associated with ZD appear as thin projections on the anterior esophageal wall over the Killian’s triangle.

A simple barium swallow will normally reveal the diverticulum. Endoscopy should not be performed due to the risk of perforating the diverticulum.

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  Barium swallow graphy: Zenker’s diverticulum-Frontal view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-1|[1]}
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  Barium swallow graphy: Zenker’s diverticulum-Oblique view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-2|[2]}
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  Barium swallow graphy: Zenker’s diverticulum-Frontal view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-3|[3]}
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  Barium swallow graphy: Zenker’s diverticulum-Lateral view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-4|[4]}

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  Barium swallow graphy: Zenker’s diverticulum- Lateral view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-5|[5]}
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  Barium swallow graphy: Zenker’s diverticulum- Frontal view
  Source:Radiopaedia^{_Radiology_Case_|_Radiopaedia.org-6|[6]}