Case contributed by Dr Hani Salam



Patient Data

Age: 80
Gender: Female

Right paravertebral region elongated opacity that produce mass effect on the posterior wall of the trachea seen on the lateral projection.


Huge dilation of the esophagus , with tapering at the gastroesophageal junction, bird peak sign. No shouldering or obstructing mass lesion is seen.


Heterogenous contents and dependent contrast seen in a dilated esophagus that produce mss effect on the heart and tracheobronchial tree.

Case Discussion

Achalasia is characterized by absent peristalsis of the esophagus and incomplete relaxation of the lower esophageal sphincter, resulting in marked dilatation and poor esophageal emptying.


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Case information

rID: 44094
Case created: 6th Apr 2016
Last edited: 22nd Sep 2017
System: Chest
Inclusion in quiz mode: Included

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