Presentation
History of chronic alcohol abuse with long time chest pain, dysphagia and nocturnal cough.
Patient Data
Age: 60 years
Gender: Male
From the case:
Achalasia
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Frontal
Right paracardiac opacity without silhouette sign. Air-fluid level in the mediastinum.
From the case:
Achalasia
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Frontal
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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