Achalasia

Case contributed by Dr Alexandra Stanislavsky

Presentation

Recurrent chest infections.

Patient Data

Age: 15 years
Gender: Female
X-ray

There are prominent perihilar interstitial markings and patchy airspace opacification.  

CT

Grossly distended esophagus contains a large amount of food debris.  There are numerous small foci of airspace and groundglass opacification.  Given the appearance of the esophagus, the lung changes most likely reflect aspiration.

Fluoroscopy

Distended esophagus and bird beak appearance of the esophageal sphincter, in a pattern typical of achalasia.

Case Discussion

Typical fluoroscopic appearance of achalasia, with secondary aspiration seen on chest imaging.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.