Case contributed by Dr Mario Umana


History of chronic alcohol abuse with long time chest pain, dysphagia and nocturnal cough.

Patient Data

Age: 60 years
Gender: Male

Right paracardiac opacity without silhouette sign. Air-fluid level in the mediastinum.


Severe dilation of the thoracic esophagus with a bird beak sign.

Case Discussion

This was a patient with a history of chronic alcohol abuse with long time chest pain, dysphagia and nocturnal cough. Findings are most suggestive of achalasia. There is a classic bird beak sign at the gastro-esophageal junction.

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Case information

rID: 38071
Published: 3rd Jul 2015
Last edited: 23rd Nov 2019
Inclusion in quiz mode: Included

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