A lateral barium swallow in a 60-year-old female patient with dysphagia shows a constant shelf-like anterior diaphragm arising from the wall of the pharynx 3 mm in thickness (arrowheads) at the level of the C5/6 disc space. This is the commonest site for cervical webs. In this patient, extrinsic impressions on the posterior wall of the pharynx are caused by marked changes of cervical spondylosis.
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