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CT Findings in Patients with Esophagitis

Gene Y. Berkovich1, Marc S. Levine and Wallace T. Miller, Jr.

1 All authors: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.



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  		Fig. 1A. —55-year-old man with herpes esophagitis. CT scan below level of carina shows marked circumferential thickening (arrow) of wall in mid esophagus. Actual wall thickness was 9 mm.

 


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  		Fig. 1B. —55-year-old man with herpes esophagitis. Double-contrast esophagram shows multiple small ulcers en face (black arrows) and in profile (white arrows) in mid esophagus.

 


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  		Fig. 2. —38-year-old man with combined radiation and reflux esophagitis. CT scan at level of aortic arch shows marked circumferential thickening (arrow) of esophageal wall. Actual wall thickness was 8 mm.

 


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  		Fig. 3. —54-year-old man with radiation esophagitis. CT scan at level of carina shows circumferential thickening (black arrow) of esophageal wall. Actual wall thickness was 6 mm at this level. Note mucosal enhancement (white arrow) with hypoattenuation of wall, producing target sign.

 


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  		Fig. 4. —41-year-old man with no known esophageal disease (from control group). CT scan at level of carina shows mild thickening (arrow) of wall in mid esophagus. Actual wall thickness was 5.5 mm.

 

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