A female with Intermittent Dysphagia

A female aged 45 years Chief Complaints Dysphagia (Intermittent) Both to solids and liquids Wt loss Normal Appetite (x 2 months) Physical Examination Grissly normal Investigations UGIE - normal Esophageal Manometry

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Extra oesophageal compression at upper 2/3 rd part of oesophagus Likely lymphadenopathy

Achalasia cardia

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