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Fig. 1D. —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 during bolus passage with patient in lateral position shows larger left-sided diverticulum (large white arrow) inferior to prominent cricopharyngeus (large black arrow). Diverticulum overlaps anterior wall of cervical esophagus (small black arrow).

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