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A 68-year-old woman presented with fever and dull pleuritic pain in the left chest wall. Chest radiography revealed a large mass with an air-fluid level in the right hemithorax (Panel A) and a suggestion of pneumonia in the left lower lobe. Computed tomography using contrast material revealed a severely dilated esophagus containing food, consolidation in the left lower lobe, and a compressed right lung (Panels B and C). The patient reported that she had had difficulty in swallowing food since her 20s and had adapted by eating a semiliquid diet for the past four decades. She reported often coughing when . . . [Full Text of this Article] |
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