                                 FINAL REPORT
 INDICATION:  -year-old male with chest pain and achalasia with a foreign
 body sensation in the throat, evaluate.
 
 COMPARISONS:  Chest radiograph  and .  CT torso
 .
 
 PA AND LATERAL VIEWS OF THE CHEST:  A large dilated, debris-filled, possibly
 fluid filled esophagus is again appreciated, abutting the right mediastinum,
 in this patient with known achalasia.  The finding appears more prominent as
 compared to the right study of  but similar to . There is a
 questionable air-fluid level in the proximal thoracic esophagus.  The
 possibility of progressed slowed emptying of the esophagus is raised. There is
 no evidence of aspiration.  There is no pleural effusion or pneumothorax.  The
 cardiac silhouette is difficult to assess.
