Rat's tail sign (esophagus)

Last revised by Dalia Ibrahim ◉ on 1 Aug 2022

Citation, DOI, disclosures and article data

Citation:

Gaillard F, Ibrahim D, Niknejad M, et al. Rat's tail sign (esophagus). Reference article, Radiopaedia.org (Accessed on 29 Sep 2023) https://doi.org/10.53347/rID-5997

DOI:

https://doi.org/10.53347/rID-5997

Permalink:

https://radiopaedia.org/articles/5997

rID:

5997

Article created:

5 Apr 2009, Frank Gaillard ◉ ◈

Disclosures:

At the time the article was created Frank Gaillard had no recorded disclosures.

View Frank Gaillard's current disclosures

Last revised:

1 Aug 2022, Dalia Ibrahim ◉

Disclosures:

At the time the article was last revised Dalia Ibrahim had no recorded disclosures.

View Dalia Ibrahim's current disclosures

Revisions:

20 times, by 8 contributors - see full revision history and disclosures

Systems:

Gastrointestinal

Sections:

Signs

Tags:

refs

Synonyms:

Rat-tail sign
Rat tail sign
Rat tail signs

The rat's tail sign refers to tapering of the inferior esophagus on barium swallow study. Many sources use this sign synonymously with the bird beak sign (esophagus) and indicate that it is characteristic of achalasia ¹. It is important to remember that if a "rat tail" involves more than just the distal esophagus and/or has contour irregularity, then this raises the possibility of esophageal carcinoma (i.e. pseudoachalasia).