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Esophageal Wall Thickening: A CT Finding in Diffuse Esophageal Spasm

Nino-Murcia, Matilde; Stark, Paul; Triadafilopoulos, George

Journal of Computer Assisted Tomography: March/April 1997 - Volume 21 - Issue 2 - pp 318-321
Thoracic Imaging

We report three patients with esophageal wall thickening, incidentally found at CT, in whom further evaluation led to the diagnosis of diffuse esophageal spasm (DES). All cases showed smooth, symmetric, circumferential wall thickening of the distal two-thirds of the esophagus with normal periesophageal fat. No lung parenchymal abnormalities suggestive of aspiration were seen. DES, although uncommon, is another benign condition that should be included in the differential diagnosis of esophageal wall thickening detected by CT.

From the Radiology Service (M. Nino-Murcia and P. Stark) and Gastroenterology Section (G. Triadafilopoulos), Veterans Administration Palo Alto Health Care System, and Department of Radiology (M. Nino-Murcia and P. Stark) and Division of Gastroenterology, Department of Medicine (G. Triadafilopoulos), Stanford University School of Medicine, Palo Alto, CA, U.S.A.

Address correspondence and reprint requests to Dr. M. Nino-Murcia at Radiology Service, 114, VA Palo Alto HCS, 3801 Miranda Ave., Palo Alto, CA 94304, U.S.A.

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