Solution: The findings on the double contrast esophagram are very concerning for an esophageal cancer. There is mucoasal irregularity of the distal esophagus with a focal narrowing and "shouldering". There is also impressive dilatation of the proximal esophagus with stasis. The findings on this study led to an EUS which showed a focal mass that was confirmed to be a T3 esophageal cancer



subsequent CT confirmed