Young female with a known history of achalasia
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Chest x-ray demonstrates a mass with mixed density silhouetting the right hilum and paraspinal stripe
This was a patient with a known longstanding history of esophageal achalasia.
The differential diagnosis of dilated esophagus includes; achalasia, scleroderma, esophagitis or esophageal carcinoma with stricture and esophagectomy with gastric or colonic interposition.