PMC5752331_01
Thoracic HRCT showing dilatation of oesophagus with food residue near the larynx.
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Thoracic CT demonstrated a gross dilatation of the oesophagus, which was distended with food debris and fluid from the gastro-oesophageal junction right up to her larynx, compatible with achalasia (Fig. 1).
Thoracic HRCT showing mega-oesophagus with the oesophagus causing severe compression to the trachea near the Aortic Arch.
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The long axis diameter of the trachea at the narrowest point was 3.5 mm near the Aortic Arch, where the oesophagus was most dilated (Fig. 2).
Gastroscopy showing dilated oesophagus with food debris.
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Further investigations included a gastroscopy, which confirmed the presence of a very dilated oesophagus with significant food residue and normal mucosal appearances (Fig. 3).