CTICasesEsophageal leiomyoma causing progressive dysphagia
Imaging findings
Barium swallow and chest CT in an elderly patient show a large, smooth submucosal middle mediastinal mass causing focal extrinsic compression of the esophageal lumen near the level of the carina, without local invasion.
Key takeaways
While often asymptomatic, larger esophageal leiomyomas can cause progressive dysphagia over years. Their benign nature is reflected on CT by smooth, non-infiltrative borders and uniform soft-tissue attenuation.
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