Preschooler with heartburn after eating

UGI and CT of left aortic arch with aberrant right subclavian artery
Lateral image from an UGI exam (above left) shows a persistent posterior indentation on the proximal esophagus. Sagittal CT with contrast of the chest (above right) shows an aberrant artery located posterior to the esophagus and anterior to a vertebral body. Axial CT (below) shows the right subclavian artery to be arising aberrantly from the aorta and coursing anterior to the vertebral body and posterior to the aerated trachea and collapsed esophagus.

The diagnosis was left aortic arch with aberrant right subclavian artery.