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Achalasia simulating mediastinal mass

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Chest pain and regurgitation

Patient Data

Age: Middle age
Gender: Male

Widened mediastinum and an opacity in the right upper zone. No gastric fundus air bubble seen. 

Severe dilatation of esophagus which is simulating mediastinal mass on xray.

Annotated image

Severe dilatation of the esophagus mimicking mediastinal mass

Case Discussion

A case of Prof. Saeed Rad, Tabriz, Iran.

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