Presentation
Chest pain, dysphagia and odynophagia.
Patient Data
Marked asymmetrical increased wall thickness due to the tumoral infiltration is present in the thoracic esophagus, more severe in the lower half. The mass encases the descending aorta suggesting local invasion.
Several mediastinal and multiple upper perigastric, paraceliac and para-aortocaval enlarged lymph nodes are observed.
Multiple small nodules in linear branching patterns are seen in the left lower lobe of the lung. A 12mm subpleural nodule is also noted in the left lung base suggesting metastasis.
A few non-enhanced simple cortical cysts in both kidneys.
Case Discussion
Severe esophageal tumoral infiltration, pathology-proven squamous cell carcinoma with aortic encasement, regional and metastatic lymphadenopathy, and lung metastasis.
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