A 51-year-old woman came with progressive difficulty in swallowing solid food and, weight loss since six months.
The frontal chest radiograph shows a well-defined soft tissue opacity in the left lower zone which obscures the left dome of diaphragm, the lower part of the left heart border, the cardiophrenic and costophrenic angles. There are no calcifications. The bones are normal.
Contrast enhanced CT scan of the chest and the upper abdomen show asymmetric, circumferential thickening of the distal esophagus. On post contrast images it shows delayed enhancement. There are multiple tiny calcific foci in this thickened wall. There is slit-like narrowing of the esophageal lumen. The gastroesophageal junction is involved. The esophagus is displaced to the left ; it abuts the left posterolateral chest wall. A CT guided biopsy was performed.