Presentation
Dysphagia
Patient Data
Right paravertebral region elongated opacity that produce mass effect on the posterior wall of the trachea seen on the lateral projection.
Huge dilatation of the oesophagus, with tapering at the gastro-oesophageal junction representing the bird beak sign. No shouldering or obstructing lesion is seen.
Heterogenous and dependent contents seen in a dilated oesophagus that produce mass effect on the heart and tracheobronchial tree.
Case Discussion
Achalasia is characterised by absent peristalsis of the oesophagus and incomplete relaxation of the lower oesophageal sphincter, resulting in marked dilatation and poor oesophageal emptying.