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Fig. 1B. —79-year-old man with suprasternal dysphagia. During videofluoroscopy (not shown), pharyngeal motility was abnormal, with diminished elevation of pharynx and diminished epiglottic tilt, resulting in laryngeal penetration. Patient repeatedly double-swallowed. Spot radiograph obtained after bolus passage shows 2-cm left (large white arrow) and 0.4-cm right (small white arrow) Killian-Jamieson diverticula. Neck of left-sided diverticulum (double black arrow) has narrowed in comparison with that in A. Note residual debris in larger diverticulum and barium-coated left true vocal cord (t).