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DES with corkscrew esophagus on barium swallow

DES with corkscrew esophagus on barium swallow
Barium swallow performed in a 74-year-old man with retrosternal pain. (A) Marked spasm throughout the length of the esophagus produces a corkscrew-like appearance. (B) Magnified view of the distal esophagus. (C) Normal single contrast examination of the esophagus.
DES: diffuse esophageal spasm.
Graphic 93739 Version 2.0