Xray Soft tissue neck A-P,Lateral films give valuable information.

1. X-Ray Soft Tissue Neck
Dr Shrikant Phatak
Head of ENT Department
Choithram Hospital & Research Center
Indore

2. Structures Visualized
1. Base Tongue
2. Epiglottis
3. Hyoid
4. Thyroid & Cricoid
Cartilages
5. A-E Folds
6. Sub glottis Trachea
7 Pre vertebral Soft
Tissue
8. Vertebral Column
9. Soft palate

3. Air Way An ENT Perspective

4. X-Ray Soft Tissue Neck
• X-Ray Soft tissue Neck A-P, Lateral views give a
reliable information about air way & other soft
tissues that is of help to anesthetist to surgeon
also to decide for Tracheostomy.
• It indirectly informs about esophageal condition.
• In case of stenosis it’s site, & extent .
• Helps to assess feasibility of decanulation in a
Tracheostomised patient
• Economical investigation.

5. Importance of A-P & Lateral Views
On A-P It Appears F.B.
Lateral shows it’s not F.B. but the
Zip

6. Importance of A-P & Lateral Views
A-P shows F.B. on left side
Lateral shows in Pre vertebral
tissue

7. Importance of A-P & Lateral Views
A-P shows F.B. upside down Lateral shows F.B. upper G.I

8. X-Ray Soft Tissue Neck (impacted denture)
Lateral showing denture wire Removed Denture

9. Thyroid Swelling in A-P Lateral X-Ray
Shifting Of Airway Patent Airway In spite of Shift

10. Anterior Neck-Base Tongue
Swelling Base Tongue ,Anterior
Neck. Ante coagulant treatment
Mass lesion Base tongue
(Lymphoma)

11. X-Ray Soft Tissue Neck Lateral View
Vallecular Cyst Air Fluid Level Endoscopic view

12. X-Ray Soft Tissue Neck Lateral View
Epiglottic Mass Distorted epiglottis Endoview

13. X-Ray Soft Tissue Neck Lateral View
Retropharyngeal Swelling
Causing Stridor
Intra Op View Red arrow
Abscess Yellow Arrow uvula

14. X-Ray Soft Tissue Neck LateralView
Widening pre vertebral soft
tissue
Widening pre vertebral soft
tissue in Thyroid swelling

15. A-V MALFORMATION INA CHILD CAUSING RESPIRATORY
DISTRESS.
X-Ray Soft Tissue Neck Lateral View

16. X-Ray Soft Tissue Neck Lateral View
Retropharyngeal widening
Causing Torticollis in a child Retropharyngeal widening

17. X-Ray Soft Tissue Neck Lateral View
Post Cricoid Mass Obscuring
Airway Endoview Pre vertebral Widening

18. X-Ray Soft Tissue Neck Lateral
Widened Air Shadow Due to
Aerophagy Subglottic Block
Red Vocal Cords Blue Subglottic Mass
Very narrow Airway 10 yr Male

19. X-Ray Soft Tissue Neck Lateral View
Retropharyngeal Air Shadow due
to Dilated Esophagus
Ba Swallow Confirms Achalasia
Cardia

20. X-Ray ST Neck Lateral View
Pre vertebral Air shadow Ba Swallow Confirms Malignancy

21. X-Ray Soft Tissue Neck A-P View
Proximal Dilatation of Esophagus
Due to Distal Malignancy
Widening of Pharyngeal Air
Shadow Esophageal Malignancy

22. X-Ray ST Neck Lateral View
Funneling of the Air Shadow
Supra stomal Stenosis Grade 4 Supra stomal Stenosis

23. Stenotic Narrowing
Narrow Trachea Narrow Trachea

24. X-Ray ST Neck Lateral View
Supraglottic Mass Supraglottic Mass

25. Broken Tracheostomy

26. Broken Metallic Tracheostomy Tube Left
Bronchus

27. Broken Tracheostomy

28. Broken metallic tube

29. X-Ray ST Neck
# Thyroid Cartilage (injury) Surgical Emphysema

30. Spine Abnormality

31. Disclaimer
• The information contained in the presentation is based on the personal
experience and cases collected at Choithram Hospital Indore over the last
20 years.
• It is intended for the use of Medical students Anesthesia & ENT,Radiology
post graduates.
• The views expressed are purely on personal opinion. viewers can make
their own opinion. For any confusion please contact sole author.
• Everybody is allowed to copy or download the material best suited to him.
I am not responsible for any controversies arising out of the presentation.
• For any suggestions or corrections you may please contact
phatak_shrikant@yahoo.in

32. X-Ray ST Neck
•
• Thank you