The case exhibits characteristics of chronic systemic sclerosis on CT and esophagram, including hidebound sign (bowel), esophageal dilatation, and lower esophageal sphincter incompetence.

This case was submitted with supervision and input from:
Frank Chen, M.D. (Attending Radiologist)  & Dillon Brown, M.D. (Resident Radiologist) 
Mayo Clinic, Jacksonville
Department of Diagnostic and Interventional Radiology