Presentation
Recurrent dysphagia on a background of previous esophageal dilatations for idiopathic stricture.
Patient Data
Liquid contrast traverses the esophagus quickly, however, there is an area of persistent narrowing at around the level of the thoracic inlet extending for approximately 7 cm. This has smooth shoulders and no definite ulceration. However, numerous pseudodiverticula are noted here and throughout the more distal esophagus. No further strictures are identified and the gastro-esophageal junction appears unremarkable.
There was considerable hold-up to contrast-stained marshmallow at the area of focal esophageal narrowing (arrow). This likely accounts for the patient's symptomatology.