There is a dilated fluid and debris-filled oesophagus proximal to an ulcerating oesophageal mass at the T8 level (middle third ) measuring at least 32 x 30mm in axial dimensions. The craniocaudal extent is difficult to accurately assess, however, a minimum length of 80 mm is measured.
Features suggestive of oesophageal carcinoma of squamous cell origin in view of positive left supraclavicular lymph node FNA.
There is no invasion of the adjacent aorta or left atrium. There is mild right-sided tracheal displacement, however no tracheal invasion. There are no pulmonary or osseous metastases.
Multiple necrotic lymph nodes are demonstrated:
left supraclavicular lymph node - 54 x 48mm
right level IV lymph node- 17 x 12mm.
left para-oesophageal lymph node at the T9 level- 15 x 13mm.
coeliac axis lymph node in the upper abdomen - 25 x 21mm.
There is a right subclavian central venous line.