Case contributed by Morouj Shaggah


Chest pain and discomfort that worsens after having food.

Patient Data

Age: 60 years.
Gender: Male

Chest X-ray


A large convex opacity overlaps the right mediastinum, causing anterior displacement and bowing of the trachea on the lateral view with air-fluid levelling and absent gastric bubble, suggesting achalasia.
The heart size appears within upper normal limits.

Chest CT


The thoracic esophagus is markedly dilated, filled with fluid/food debris and shows smooth distal tapering without wall thickening or mass lesion, suggesting primary achalasia.

The lung appears clear with no evidence of aspiration.

Case Discussion

A gross example of achalasia without evident complications.

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