Demographics:
68 years old, Male
Indication:
Chest pain
Findings
- Dilated upper and mid esophagus with air-fluid level and distal tapering
- No focal airspace disease or edema
- No pleural effusion or pneumothorax
- Normal size of the cardiopericardial silhouette
- Mild rightward deviation of the lower thoracic trachea
- Ectatic thoracic aorta
Diagnosis
Esophageal cancer
Sample Report
Dilated upper and mid esophagus with air-fluid level, which places the patient at risk for aspiration. Recommend correlation with upper endoscopy and/or CT to evaluate for obstructing mass.
No evidence of acute cardiopulmonary disease.
Ectatic thoracic aorta, which can also be further evaluated with CT.
Rightward deviation of the lower thoracic trachea likely relates to the dilated aorta and/or the dilated esophagus and can also be further evaluated by CT.
Discussion