Case contributed by Alexandra Stanislavsky


Recurrent chest infections.

Patient Data

Age: 15 years
Gender: Female

There are prominent perihilar interstitial markings and patchy airspace opacification.  


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


Distended esophagus and bird beak appearance of the esophageal 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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