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Achalasia

Long JRL - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Achalasia

History: 33 year-old female with shortness of breath and dyspnea on exertion.

Findings: Frontal chest radiograph demonstrated a wideneded mediastinum on the right side, which on the lateral chest radiograph was a mass within the middle mediastinum superiorly and crossed into the posterior mediastinum inferiorly. Non-contrast CT examination of the chest demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material. Imaged from an upper GI fluoroscopic examination demonstrates a dilated thoracic esophagus with a focal narrowing at the gastroesophageal junction. A complete lack of peristalsis was noted during the examination.

Ddx: Primary achalasia Secondary achalasia Obstructing gastric or distal esophageal mass Esophageal stricture

Dxhow: Upper GI fluoroscopic examination.

Exam: N/A

No MeSH data available.


Coronal reconstruction of the axial non-contrast chest CT demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material.
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MPX1109_synpic28526: Coronal reconstruction of the axial non-contrast chest CT demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material.


Achalasia

Long JRL - MedPix (2006)

Coronal reconstruction of the axial non-contrast chest CT demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1109&req=5

MPX1109_synpic28526: Coronal reconstruction of the axial non-contrast chest CT demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Achalasia

History: 33 year-old female with shortness of breath and dyspnea on exertion.

Findings: Frontal chest radiograph demonstrated a wideneded mediastinum on the right side, which on the lateral chest radiograph was a mass within the middle mediastinum superiorly and crossed into the posterior mediastinum inferiorly. Non-contrast CT examination of the chest demonstrates a diffusely dilated esophagus filled with mottled soft tissue consistent with ingested food material. Imaged from an upper GI fluoroscopic examination demonstrates a dilated thoracic esophagus with a focal narrowing at the gastroesophageal junction. A complete lack of peristalsis was noted during the examination.

Ddx: Primary achalasia Secondary achalasia Obstructing gastric or distal esophageal mass Esophageal stricture

Dxhow: Upper GI fluoroscopic examination.

Exam: N/A

No MeSH data available.