Upper endoscopy revealed marked proximal oesophagal dilatation and retained fluid with marked narrowing at the cardia and difficulty in scope passage through it.
Esophageal endosonography showed long segment of diffuse esophageal wall thickening forming mass lesion at the cardia, EUS-FNB was done.
Anorectal endosonography showed diffuse concentric hypoechoic wall thickening with loss of wall layering pattern, similar to the oesophagal lesion. EUS-FNB was done.