Achalasia
Presentation
Patient present with dysphagia and chest discomfort
Patient Data
Age: Middle age
Gender: Male
From the case:
Achalasia
X-ray
Frontal
Absence of the gastric air bubble and wide upper mediastinum which shows esophageal wall suggest achalasia.
From the case:
Achalasia
Barium
Acute tapering at the lower esophageal sphincter and narrowing at the gastro-esophageal junction, producing a "bird's beak" or "rat's tail" appearance.