Presentation
Elderly gentleman with swallowing difficulties.
Patient Data
Age: 85 years
Gender: Male
From the case:
Esophageal carcinoma
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The esophagus is distended down to the distal third with a standing column of barium.
Extensive mucosal irregularity on the posterior aspect of the distal esophagus.
From the case:
Esophageal carcinoma
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Circumferential soft tissue mass involving the distal third of the esophagus extending down to the gastro-esophageal junction.
7 mm right lower lobe nodule.
1 cm pathological upper abdominal node.
Case Discussion
Not too many patients now present and have their initial diagnosis of esophageal malignancy made with a barium swallow.
This is an example of a pretty advanced malignancy with extensive mucosal irregularity.