MedPix® Patient Chart - Case No: 9404 :: - Review Images

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

N/A

- Review Images for PT: 9404

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.

- Review Images for PT: 9404

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

- Review Images for PT: 9404

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Treatment not available without Diagnosis

You are Viewing this Case in Quiz Mode - the Diagnosis (and validation) are visible with the case [Answer]