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Case contributed by Dr Dai Roberts


Retrosternal chest pain.

Patient Data

Age: 70 years
Gender: Male

Marked distension of the esophagus with an air-fluid level evident in the superior mediastinum, most likely due to achalasia. 

Case Discussion

Achalasia can be demonstrated on chest radiographs and results in chronic dilation of the esophagus due to poor emptying.  The diagnosis can be confirmed on a barium swallow which will show the classic beaklike narrowing of the distal esophagus 1

Case courtesy of Dr Liam McKnight. 

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