Presentation
An elderly lady with dysphagia.
Patient Data
Age: 90 years
Gender: Female
From the case:
Esophageal cancer
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/144117/annotated_viewer_json?_c=1701932311\u0026iframe=true\u0026lang=us"}
Water-soluble swallow.
Almost complete luminal occlusion at the level of the distal third of the esophagus with just a tiny rim of contrast bypassing a large intraluminal mass. The superior edge is shouldered.
The intraluminal mass extends down almost to the level of the gastro-esophageal junction.
Case Discussion
This fluoroscopic examination illustrates a huge esophageal malignancy with almost complete luminal occlusion.
The shouldered edge is typical of a malignancy.
Prior CT showed narrowing of distal esophagus.
EGD: showed a malignant-looking tumor.
Barium swallow was performed prior to stenting.