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Distal esophagus with achalasia, scleroderma, and tumor

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Presentation on theme: "Distal esophagus with achalasia, scleroderma, and tumor"— Presentation transcript:

1 Distal esophagus with achalasia, scleroderma, and tumor
Distal esophagus with achalasia, scleroderma, and tumor. (A) Achalasia results in the most dilated esophagus frequently containing debris related to prior food which has not passed the tight “bird beak” appearance of the LES. (B) Scleroderma results in dilatation of the esophagus, but to a lesser degree than with achalasia. The LES is initially patulous and widened as illustrated, much different than achalasia, but eventually due to reflux esophagitis, can develop a stricture or worse Barrett's esophagitis or adenocarcinoma. (C) Tumors of the GE junction are primarily adenocarcinoma and result in shaggy irregularity of the mucosa with abrupt shouldering and narrowing of the lumen. Source: Gastrointestinal Imaging, Introduction to Diagnostic Radiology Citation: Elsayes KM, Oldham SA. Introduction to Diagnostic Radiology; 2015 Available at: Accessed: November 03, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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