Achalasia

Case contributed by Dr Alexandra Stanislavsky

Presentation

Recurrent chest infections.

Patient Data

Age: 15
Gender: Female
Modality: X-ray

There are prominent perihilar interstitial markings and patchy airspace opacification.  

Modality: CT

Grossly distended oesophagus contains a large amount of food debris.  There are numerous small foci of airspace and groundglass opacification.  Given the appearance of the oesophagus, the lung changes most likely reflect aspiration.

Modality: Fluoroscopy

Distended oesophagus and bird beak appearance of the oesophageal sphincter, in a pattern typical of achalasia.

Case Discussion

Typical fluoroscopic appearance of achalasia, with secondary aspiration seen on chest imaging.

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Case Information

rID: 14946
Case created: 7th Sep 2011
Last edited: 29th Aug 2015
Inclusion in quiz mode: Included

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