Heart X-ray of a 31-year-old man has revealed the following: with tightly filled opacified esophagus there is a marginal filling defect in its middle third on the posterior wall; the defect is 1,8x1,3 cm in size with clear oval border. Mucosal folds are retained and envelop the defect; wall peristalsis and elasticity are not affected. There are no complaints regarding the condition of the patient's alimentary canal. Make the provisional diagnosis:

Answer options

1. Diverticulum
2. Esophageal burns
3. Achalasia cardiae
4. Esophageal tumor
5. Barrett esophagus

Explanation

Heart X-ray of a 31-year-old man has revealed the following with tightly field opacified esophagus there is a marginal filling defect in its middle third on the posterior wall; the defect is 1.8×1.3 cm in size with clear oval border. Mucosal folds are retained and envelop the defect; wall peristalsis and elasticity are not affected. There are no complaints regarding the condition of the patient’s alimentary canal. Make the provisional diagnosis:Barrett esophagus → Caused by GERD Diverticulum → pouch and comes with feverAchalasia cardiae → Narrowing of the lower part of the esophagus (bird beak sign or rat-tail sign)Barrett’s esophagus is a condition in which there is an abnormal (metaplastic) change in the mucosal cells lining the lower portion of the esophagus, from normal stratified squamous epithelium to simple columnar epithelium with interspersed goblet cells that are normally present only in the small intestine, and large.