CT chest shows a markedly dilated, fluid-filled oesophagus with smooth distal tapering and no obstructing mass—imaging features suggestive of achalasia.
Diagnosis confirmed on high-resolution manometry (Type II).
Patient underwent POEM, with dysphagia score improving
from 3 → 1.
📌 A nice example of radiology–manometry–endoscopy concordance and clinical response.
