PMC6348844_01
Barium swallow showing classic bird beak configuration consistent with achalasia.
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fig1
On admission workup included a barium swallow showing abrupt tapering of the gastroesophageal junction with a bird beak configuration consistent with achalasia (Figure 1).
CT scan (coronal view) showing a 12 x 12 soft tissue mass in the gastrohepatic omentum (blue arrows) compressing the distal esophagus (yellow arrow) and gastric fundus.
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fig2
This showed a 12 x 12 soft tissue mass in the gastrohepatic omentum compressing the distal esophagus and gastric fundus (Figures 2 and 3).
CT scan (axial view) showing a 12 x 12 soft tissue mass in the gastrohepatic omentum (blue arrows) compressing the distal esophagus (yellow arrow) and gastric fundus.
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fig3
This showed a 12 x 12 soft tissue mass in the gastrohepatic omentum compressing the distal esophagus and gastric fundus (Figures 2 and 3).
Biopsy (hematoxylin and eosin stain) showing a classic "starry sky" appearance consistent with Burkitt's lymphoma.
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fig4
Instead a CT guided biopsy was done, the results of which showed a classic "starry sky" appearance consistent with Burkitt's lymphoma (Figure 4).
Barium swallow showing resolution of bird beak appearance with complete filling of the stomach.
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fig5
Repeat barium swallow was done showing resolution of the previously seen birds beak appearance with complete esophagogastric emptying (Figure 5).