Presentation
Dysphagia for both solids and liquids with vomiting.
Patient Data
Age: 11 years
Gender: Female
From the case:
Achalasia - pediatric
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The chest x-ray shows a convex opacity overlapping the right upper mediastinum which may be due to dilated esophagus. Small gastric bubble with aerated splenic flexure. Both lungs are clear. No pleural effusion is seen.
On barium swallow, the esophagus is dilated with tertiary contractions and acute tapering at the lower esophageal sphincter, producing a "bird's beak" appearance.
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