Case contributed by Dr Bahman Rasuli


Dysphagia for both solids and liquids for one year.

Patient Data

Age: 60 years
Gender: Female

Dilatation of the esophagus with smooth distal narrowing and tapering (bird beak appearance), characteristic for achalasia. 

Normal mucosal pattern of the esophagus with no irregularities or ulceration.

No evidence of hiatus hernia.

Degenerative changes as endplate sclerosis and marginal osteophyte formation are seen along with the dorsal and upper lumbar vertebras.

Case Discussion

Barium swallow demonstrates dilatation of the esophagus with distal narrowing and tapering producing a bird beak appearance characteristic for esophageal achalasia. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.