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Fig. 1A. —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 with patient in frontal position shows 2-cm left-sided Killian-Jamieson diverticulum (large white arrow) with wide neck (double white arrow). Diverticulum is filled with debris, manifested as tiny radiolucent filling defects in barium pool. Right-sided Killian-Jamieson diverticulum of 4 mm in diameter is barely visible, obscured by barium bolus. Note second swallow manifested as barium column surrounding tilting epiglottis (e). Also note right and left lateral pharyngeal pouches (small white arrows).

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