CTICasesMega-Esophagus from Achalasia
Imaging findings
Chest radiograph and CT show a massively dilated, bubble-filled esophagus (mega-esophagus) extending from the neck to the stomach. Multiple surgical clips are present from prior myotomies.
Key takeaways
End-stage achalasia can lead to a mega-esophagus (dilated, tortuous esophagus filled with food/bubbles). Prior surgical myotomies can be identified by mediastinal clips, and patients are at risk for chronic microaspiration.
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