Presentation
Dysphagia for solid and liquid (more for liquid) for the last year.
Patient Data
Age: 50 years
Gender: Male
From the case:
Achalasia cardia
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Single contrast barium swallow study showing smooth narrowing of the gastroesophageal junction, producing a "bird beak" appearance; with proximal esophageal dilation.
Case Discussion
The imaging features are consistent with achalasia cardia.
The differential diagnosis is with number of entities that may mimic achalasia, forming the so-called 'achalasia pattern'
Investigation of choice for achalasia cardia is esophageal manometry 2.