Presentation
Dyspnea, elevated CRP and WBC. Pneumonia?
Patient Data
Age: 70 years
Gender: Female
From the case:
Achalasia
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An air filled, walled structure is visible adjacent to the right heart border and mediastinum which corresponds to the distended esophagus. Achalasia confirmed by prior imaging. No features suggestive of pneumonia.
Case Discussion
Advanced achalasia which seemingly follows the right heart border, making the appearance more confusing.