Achalasia (ultrasound)

Case contributed by Ayush Goel
Diagnosis almost certain

Presentation

Dysphagia

Patient Data

Age: 50 years
Gender: Female
ultrasound

Smooth narrowing at esophagogastric junction with proximal dilated fluid-filled tubular structure along cardiac surface. 

Sonological findings are consistent with achalasia.

Barium swallow one day later

x-ray

Dilated esophagus with hold up of barium and bird beak sign at esophagogastric junction.

Case Discussion

Achalasia is commonly diagnosed on barium swallow and less frequently visualized on ultrasonography. Careful evaluation of esophagogastric junction and distal esophagus may give useful information for the diagnosis.

Case courtesy: Dr Garima Goel (Shivi imaging center)

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