Achalasia - rat tail sign

Case contributed by Mohammad Niknejad
Diagnosis almost certain

Presentation

Chest pain and dysphagia.

Patient Data

Age: 35 years
Gender: Female
Fluoroscopy
Frontal
Lateral
Lateral
Oblique
Oblique
Oblique
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Info

Dilatation and stasis in esophagus with tapering at the lower esophageal sphincter and narrowing at the gastro-esophageal junction with characteristic appearances of bird beak sign or rat-tail sign.

Case Discussion

Features are consistent with achalasia with a typical rat tail sign.

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