Epiphrenic diverticulum seen on barium swallow study

Barium swallow study, performed in a patient with dysphagia and recurrent reflux, shows a large epiphrenic diverticulum (arrow) which has arisen immediately above a stricture (arrowhead) of the distal esophagus. This stricture was caused by chronic reflux esophagitis and the patient required an antireflux procedure, and resection of the stricture and diverticulum.