Case contributed by Dr Bruno Di Muzio


Chronic dysphagia.

Patient Data

Age: 80 years
Gender: Female

Chest radiographs

Esophagus is grossly dilated. Heart silhouette is enlarged. Mediastinal contours are otherwise unremarkable. 

Lungs and pleural spaces are clear. 


Barium Swallow

Marked dilated and tortuous esophagus. Oral contrast passes with some pooling/stasis of barium that is associated with incomplete lower esophageal sphincter relaxation (beak-like appearance). There is a failure of coordinated esophageal contractions - non-propulsive contractions/failure of normal peristalsis

Case Discussion

Imaging features of achalasia.

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Case information

rID: 78596
Published: 9th Jun 2020
Last edited: 28th Jun 2020
System: Breast
Inclusion in quiz mode: Included

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