Demographics:
55 years old, Female
Indication:
Dyspnea
Findings
- Gaseous distension of the esophagus with an air-fluid level in the lower thoracic esophagus
- No focal airspace opacification or edema
- No pleural effusion or pneumothorax
- Normal size and configuration of the cardiopericardial silhouette
- Minimal bibasilar atelectasis/scarring
Diagnosis
Achalasia
Sample Report
Gaseous distension of the esophagus raises concern for achalasia or obstructing mass. Recommend esophagram or CT for further evaluation. Fluid layering in the lower thoracic esophagus places the patient at risk for aspiration.
Otherwise, no evidence of acute cardiopulmonary abnormality.
Discussion