Elderly patient attends with shortness of breath. Know oesophageal malignancy.
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An esophageal stent traverses the gastro-esophageal junction.
Hyperinflated lungs in keeping with COPD.
The appearances of the lungs and esophageal stent for malignancy are both likely the outcome of the same cause - smoking.
A covered esophageal stent is observed traversing the GEJ.
Esophageal stents are almost exclusively deployed for symptomatic benefit for a malignant stricture, typically in the distal esophagus.
The stent may be placed endoscopically or by an interventionally radiologist under fluroscopic guidance.