Esophageal cancer with pulmonary metastasis
Dysphagia and chest pain of 2 months duration.
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Irregular circumferential thickening of the mid esophagus with esophageal dilatation of the proximal segment, invasion of the adjacent right pleura, periosteal reaction without definite invasion of the right 2nd and 3rd ribs, subcarinal lymph node and multiple bilateral metastatic pulmonary nodules