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.

#Achalasia #POEM #Gastroenterology #Manometry #GastroAGI