Presentation
Dysphagia.
Patient Data
Age: 70 years
Gender: Male
From the case:
Esophageal adenocarcinoma
{"study":{"id":13024,"case_slug":"oesophageal-adenocarcinoma","modality":"Fluoroscopy","series":[{"id":634272,"content_type":"image/jpeg","frames":[{"id":634272,"width":1739,"height":1739,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"319dfb84867b06640cd58061c79d44_tiny.jpg","jumbo":"319dfb84867b06640cd58061c79d44_jumbo.jpg","small":"319dfb84867b06640cd58061c79d44_small.jpg","thumb":"319dfb84867b06640cd58061c79d44_thumb.jpg","medium":"319dfb84867b06640cd58061c79d44_medium.jpg","gallery":"319dfb84867b06640cd58061c79d44_gallery.jpg","big_gallery":"319dfb84867b06640cd58061c79d44_big_gallery.jpg","original":"319dfb84867b06640cd58061c79d44.jpg"}]},"perspective":null,"specifics":null},{"id":634271,"content_type":"image/jpeg","frames":[{"id":634271,"width":1794,"height":1798,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"26e17be7105bedffcd1a813780dc51_tiny.jpg","jumbo":"26e17be7105bedffcd1a813780dc51_jumbo.jpg","small":"26e17be7105bedffcd1a813780dc51_small.jpg","thumb":"26e17be7105bedffcd1a813780dc51_thumb.jpg","medium":"26e17be7105bedffcd1a813780dc51_medium.jpg","gallery":"26e17be7105bedffcd1a813780dc51_gallery.jpg","big_gallery":"26e17be7105bedffcd1a813780dc51_big_gallery.jpg","original":"26e17be7105bedffcd1a813780dc51.jpg"}]},"perspective":null,"specifics":null},{"id":634273,"content_type":"image/jpeg","frames":[{"id":634273,"width":1794,"height":1980,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"3f77eeb7c4f4ab198ef67f58776310_tiny.jpg","jumbo":"3f77eeb7c4f4ab198ef67f58776310_jumbo.jpg","small":"3f77eeb7c4f4ab198ef67f58776310_small.jpg","thumb":"3f77eeb7c4f4ab198ef67f58776310_thumb.jpg","medium":"3f77eeb7c4f4ab198ef67f58776310_medium.jpg","gallery":"3f77eeb7c4f4ab198ef67f58776310_gallery.jpg","big_gallery":"3f77eeb7c4f4ab198ef67f58776310_big_gallery.jpg","original":"3f77eeb7c4f4ab198ef67f58776310.jpg"}]},"perspective":null,"specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"alexandra","case_id":12917,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
A region of fixed, irregular stricturing was seen in the distal esophagus. In the supine position, a sliding hiatus hernia and gastroesophageal reflux were also demonstrated.
From the case:
Esophageal adenocarcinoma
{"study":{"id":13025,"case_slug":"oesophageal-adenocarcinoma","modality":"CT","series":[{"id":634280,"content_type":"image/jpeg","frames":[{"id":634274,"width":2009,"height":2009},{"id":634275},{"id":634276},{"id":634277},{"id":634278},{"id":634279},{"id":634280,"current":true},{"id":634281},{"id":634282},{"id":634283},{"id":634284},{"id":634285},{"id":634286},{"id":634287},{"id":634288},{"id":634289},{"id":634290},{"id":634291},{"id":634292}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"873e64b6553d2aa8ce0c1a5bbcf7dc_tiny.jpg","jumbo":"873e64b6553d2aa8ce0c1a5bbcf7dc_jumbo.jpg","small":"873e64b6553d2aa8ce0c1a5bbcf7dc_small.jpg","thumb":"873e64b6553d2aa8ce0c1a5bbcf7dc_thumb.jpg","medium":"873e64b6553d2aa8ce0c1a5bbcf7dc_medium.jpg","gallery":"873e64b6553d2aa8ce0c1a5bbcf7dc_gallery.jpg","big_gallery":"873e64b6553d2aa8ce0c1a5bbcf7dc_big_gallery.jpg","original":"873e64b6553d2aa8ce0c1a5bbcf7dc.jpg"},{"tiny":"bd81bb6dbcb243bdb4fa5dc533c284_tiny.jpg","jumbo":"bd81bb6dbcb243bdb4fa5dc533c284_jumbo.jpg","small":"bd81bb6dbcb243bdb4fa5dc533c284_small.jpg","thumb":"bd81bb6dbcb243bdb4fa5dc533c284_thumb.jpg","medium":"bd81bb6dbcb243bdb4fa5dc533c284_medium.jpg","gallery":"bd81bb6dbcb243bdb4fa5dc533c284_gallery.jpg","big_gallery":"bd81bb6dbcb243bdb4fa5dc533c284_big_gallery.jpg","original":"bd81bb6dbcb243bdb4fa5dc533c284.jpg"},{"tiny":"9669692871057fbbb67f2b64deb726_tiny.jpg","jumbo":"9669692871057fbbb67f2b64deb726_jumbo.jpg","small":"9669692871057fbbb67f2b64deb726_small.jpg","thumb":"9669692871057fbbb67f2b64deb726_thumb.jpg","medium":"9669692871057fbbb67f2b64deb726_medium.jpg","gallery":"9669692871057fbbb67f2b64deb726_gallery.jpg","big_gallery":"9669692871057fbbb67f2b64deb726_big_gallery.jpg","original":"9669692871057fbbb67f2b64deb726.jpg"},{"tiny":"a0986469d6886b5356d1c9bd9e2fa1_tiny.jpg","jumbo":"a0986469d6886b5356d1c9bd9e2fa1_jumbo.jpg","small":"a0986469d6886b5356d1c9bd9e2fa1_small.jpg","thumb":"a0986469d6886b5356d1c9bd9e2fa1_thumb.jpg","medium":"a0986469d6886b5356d1c9bd9e2fa1_medium.jpg","gallery":"a0986469d6886b5356d1c9bd9e2fa1_gallery.jpg","big_gallery":"a0986469d6886b5356d1c9bd9e2fa1_big_gallery.jpg","original":"a0986469d6886b5356d1c9bd9e2fa1.jpg"},{"tiny":"5298e41a2e3329eef92f9ddff0cbb7_tiny.jpg","jumbo":"5298e41a2e3329eef92f9ddff0cbb7_jumbo.jpg","small":"5298e41a2e3329eef92f9ddff0cbb7_small.jpg","thumb":"5298e41a2e3329eef92f9ddff0cbb7_thumb.jpg","medium":"5298e41a2e3329eef92f9ddff0cbb7_medium.jpg","gallery":"5298e41a2e3329eef92f9ddff0cbb7_gallery.jpg","big_gallery":"5298e41a2e3329eef92f9ddff0cbb7_big_gallery.jpg","original":"5298e41a2e3329eef92f9ddff0cbb7.jpg"},{"tiny":"73e7a45036d4249b998ce9359395e4_tiny.jpg","jumbo":"73e7a45036d4249b998ce9359395e4_jumbo.jpg","small":"73e7a45036d4249b998ce9359395e4_small.jpg","thumb":"73e7a45036d4249b998ce9359395e4_thumb.jpg","medium":"73e7a45036d4249b998ce9359395e4_medium.jpg","gallery":"73e7a45036d4249b998ce9359395e4_gallery.jpg","big_gallery":"73e7a45036d4249b998ce9359395e4_big_gallery.jpg","original":"73e7a45036d4249b998ce9359395e4.jpg"},{"tiny":"a64c7362c38a2dd98a55b6989902f6_tiny.jpg","jumbo":"a64c7362c38a2dd98a55b6989902f6_jumbo.jpg","small":"a64c7362c38a2dd98a55b6989902f6_small.jpg","thumb":"a64c7362c38a2dd98a55b6989902f6_thumb.jpg","medium":"a64c7362c38a2dd98a55b6989902f6_medium.jpg","gallery":"a64c7362c38a2dd98a55b6989902f6_gallery.jpg","big_gallery":"a64c7362c38a2dd98a55b6989902f6_big_gallery.jpg","original":"a64c7362c38a2dd98a55b6989902f6.jpg"},{"tiny":"f19638cf2276af5c978bfe8a0c3c7a_tiny.jpg","jumbo":"f19638cf2276af5c978bfe8a0c3c7a_jumbo.jpg","small":"f19638cf2276af5c978bfe8a0c3c7a_small.jpg","thumb":"f19638cf2276af5c978bfe8a0c3c7a_thumb.jpg","medium":"f19638cf2276af5c978bfe8a0c3c7a_medium.jpg","gallery":"f19638cf2276af5c978bfe8a0c3c7a_gallery.jpg","big_gallery":"f19638cf2276af5c978bfe8a0c3c7a_big_gallery.jpg","original":"f19638cf2276af5c978bfe8a0c3c7a.jpg"},{"tiny":"b3f0e3b9b207c306e1a25c17084c1d_tiny.jpg","jumbo":"b3f0e3b9b207c306e1a25c17084c1d_jumbo.jpg","small":"b3f0e3b9b207c306e1a25c17084c1d_small.jpg","thumb":"b3f0e3b9b207c306e1a25c17084c1d_thumb.jpg","medium":"b3f0e3b9b207c306e1a25c17084c1d_medium.jpg","gallery":"b3f0e3b9b207c306e1a25c17084c1d_gallery.jpg","big_gallery":"b3f0e3b9b207c306e1a25c17084c1d_big_gallery.jpg","original":"b3f0e3b9b207c306e1a25c17084c1d.jpg"},{"tiny":"cbe66bc2bbf896e586682251ddad71_tiny.jpg","jumbo":"cbe66bc2bbf896e586682251ddad71_jumbo.jpg","small":"cbe66bc2bbf896e586682251ddad71_small.jpg","thumb":"cbe66bc2bbf896e586682251ddad71_thumb.jpg","medium":"cbe66bc2bbf896e586682251ddad71_medium.jpg","gallery":"cbe66bc2bbf896e586682251ddad71_gallery.jpg","big_gallery":"cbe66bc2bbf896e586682251ddad71_big_gallery.jpg","original":"cbe66bc2bbf896e586682251ddad71.jpg"},{"tiny":"1f7139ce28338f71008692eb33da18_tiny.jpg","jumbo":"1f7139ce28338f71008692eb33da18_jumbo.jpg","small":"1f7139ce28338f71008692eb33da18_small.jpg","thumb":"1f7139ce28338f71008692eb33da18_thumb.jpg","medium":"1f7139ce28338f71008692eb33da18_medium.jpg","gallery":"1f7139ce28338f71008692eb33da18_gallery.jpg","big_gallery":"1f7139ce28338f71008692eb33da18_big_gallery.jpg","original":"1f7139ce28338f71008692eb33da18.jpg"},{"tiny":"139082b15e0ce259ebd302ac8b35d3_tiny.jpg","jumbo":"139082b15e0ce259ebd302ac8b35d3_jumbo.jpg","small":"139082b15e0ce259ebd302ac8b35d3_small.jpg","thumb":"139082b15e0ce259ebd302ac8b35d3_thumb.jpg","medium":"139082b15e0ce259ebd302ac8b35d3_medium.jpg","gallery":"139082b15e0ce259ebd302ac8b35d3_gallery.jpg","big_gallery":"139082b15e0ce259ebd302ac8b35d3_big_gallery.jpg","original":"139082b15e0ce259ebd302ac8b35d3.jpg"},{"tiny":"51712daeab462f9c2586451cdccab0_tiny.jpg","jumbo":"51712daeab462f9c2586451cdccab0_jumbo.jpg","small":"51712daeab462f9c2586451cdccab0_small.jpg","thumb":"51712daeab462f9c2586451cdccab0_thumb.jpg","medium":"51712daeab462f9c2586451cdccab0_medium.jpg","gallery":"51712daeab462f9c2586451cdccab0_gallery.jpg","big_gallery":"51712daeab462f9c2586451cdccab0_big_gallery.jpg","original":"51712daeab462f9c2586451cdccab0.jpg"},{"tiny":"0e48261d013c8d34161a4a00c71303_tiny.jpg","jumbo":"0e48261d013c8d34161a4a00c71303_jumbo.jpg","small":"0e48261d013c8d34161a4a00c71303_small.jpg","thumb":"0e48261d013c8d34161a4a00c71303_thumb.jpg","medium":"0e48261d013c8d34161a4a00c71303_medium.jpg","gallery":"0e48261d013c8d34161a4a00c71303_gallery.jpg","big_gallery":"0e48261d013c8d34161a4a00c71303_big_gallery.jpg","original":"0e48261d013c8d34161a4a00c71303.jpg"},{"tiny":"95528a15cb79ce6ebbff1765ca9495_tiny.jpg","jumbo":"95528a15cb79ce6ebbff1765ca9495_jumbo.jpg","small":"95528a15cb79ce6ebbff1765ca9495_small.jpg","thumb":"95528a15cb79ce6ebbff1765ca9495_thumb.jpg","medium":"95528a15cb79ce6ebbff1765ca9495_medium.jpg","gallery":"95528a15cb79ce6ebbff1765ca9495_gallery.jpg","big_gallery":"95528a15cb79ce6ebbff1765ca9495_big_gallery.jpg","original":"95528a15cb79ce6ebbff1765ca9495.jpg"},{"tiny":"4f23f7f0e163665313c37967763fd0_tiny.jpg","jumbo":"4f23f7f0e163665313c37967763fd0_jumbo.jpg","small":"4f23f7f0e163665313c37967763fd0_small.jpg","thumb":"4f23f7f0e163665313c37967763fd0_thumb.jpg","medium":"4f23f7f0e163665313c37967763fd0_medium.jpg","gallery":"4f23f7f0e163665313c37967763fd0_gallery.jpg","big_gallery":"4f23f7f0e163665313c37967763fd0_big_gallery.jpg","original":"4f23f7f0e163665313c37967763fd0.jpg"},{"tiny":"32474b3dea8880dd0e0e6011505a06_tiny.jpg","jumbo":"32474b3dea8880dd0e0e6011505a06_jumbo.jpg","small":"32474b3dea8880dd0e0e6011505a06_small.jpg","thumb":"32474b3dea8880dd0e0e6011505a06_thumb.jpg","medium":"32474b3dea8880dd0e0e6011505a06_medium.jpg","gallery":"32474b3dea8880dd0e0e6011505a06_gallery.jpg","big_gallery":"32474b3dea8880dd0e0e6011505a06_big_gallery.jpg","original":"32474b3dea8880dd0e0e6011505a06.jpg"},{"tiny":"06bcc78da86211457f2d90fea8f751_tiny.jpg","jumbo":"06bcc78da86211457f2d90fea8f751_jumbo.jpg","small":"06bcc78da86211457f2d90fea8f751_small.jpg","thumb":"06bcc78da86211457f2d90fea8f751_thumb.jpg","medium":"06bcc78da86211457f2d90fea8f751_medium.jpg","gallery":"06bcc78da86211457f2d90fea8f751_gallery.jpg","big_gallery":"06bcc78da86211457f2d90fea8f751_big_gallery.jpg","original":"06bcc78da86211457f2d90fea8f751.jpg"},{"tiny":"f52415a959616965e2443dce7a500b_tiny.jpg","jumbo":"f52415a959616965e2443dce7a500b_jumbo.jpg","small":"f52415a959616965e2443dce7a500b_small.jpg","thumb":"f52415a959616965e2443dce7a500b_thumb.jpg","medium":"f52415a959616965e2443dce7a500b_medium.jpg","gallery":"f52415a959616965e2443dce7a500b_gallery.jpg","big_gallery":"f52415a959616965e2443dce7a500b_big_gallery.jpg","original":"f52415a959616965e2443dce7a500b.jpg"}]},"perspective":"Axial","specifics":"C+ arterial phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"alexandra","case_id":12917,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Subsequent CT shows some circumferential thickening of the distal esophagus and bulky mediastinal lymph nodes but no distant metastases.
Case Discussion
Patient referred for gastroscopy and esophageal biopsy.
Histopathology: Poorly differentiated adenocarcinoma of the esophagus.
In the context of the hiatus hernia and reflux, this is likely a consequence of Barrett esophagus.
Unable to process the form. Check for errors and try again.