CTICasesAchalasia Complicated by Mycobacterium fortuitum Pneumonia
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
Massively dilated esophagus with an air-fluid level and solid debris extending through the thoracic inlet. Recurrent left lower lobe consolidation and tree-in-bud opacities, as well as scattered centrilobular nodules, consistent with pneumonia, persistent over several months.
Key takeaways
Patients with achalasia are predisposed to recurrent aspiration, which can lead to opportunistic infections, including atypical mycobacterial pneumonia (e.g., Mycobacterium fortuitum). Persistent consolidation and nodular opacities despite antibiotic treatment for presumed aspiration pneumonia should prompt investigation for less common pathogens.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Diffuse Large B-cell Lymphoma with Myocardial and Pulmonary InvolvementNeoplastic
- Birt-Hogg-Dube Syndrome with Extensive CystsCongenital
- Thymoma with Paraneoplastic Pure Red Cell AplasiaNeoplastic
- Iatrogenic Diaphragmatic Hernia with Recurrent LiposarcomaIatrogenic
- Achalasia with Aspiration PneumoniaOther
- Hidden Lung CancerNeoplastic
- Traumatic Diaphragmatic Rupture and Aortic InjuryTrauma
- Thymic Hyperplasia / Ectopic ThymusArtifact
See all cases from February 26, 2016 →