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 Indian J Med Microbiol  
 

Figure 15 (A-D): Esophageal carcinoma: (A) Early esophageal cancer seen as plaque-like lesion with mucosal irregularity and mild reduce distensibility (arrow) in mid thoracic esophagus on double-contrast barium swallow. (B) Infiltrative lesion: Prone RAO barium swallow image showing irregular infiltrative lesion (arrow) with shouldering in distal esophagus extending till GE junction. Also note proximal dilatation of esophagus. Endoscopic biopsy revealed the lesion to be adenocarcinoma. (C) Ulcerative lesion: Upright single-contrast barium swallow image demonstrating irregular ulcerative lesion in upper esophagus (arrow) without significant luminal narrowing. (D) Polypoidal lesion: Upright lateral view of single-contrast barium swallow showing polyploidal filling defect in upper esophagus (arrow). Patient had severe dysphagia and aspirated small amount of barium during the procedure

Figure 15 (A-D): Esophageal carcinoma: (A) Early esophageal cancer seen as plaque-like lesion with mucosal irregularity and mild reduce distensibility (arrow) in mid thoracic esophagus on double-contrast barium swallow. (B) Infiltrative lesion: Prone RAO barium swallow image showing irregular infiltrative lesion (arrow) with shouldering in distal esophagus extending till GE junction. Also note proximal dilatation of esophagus. Endoscopic biopsy revealed the lesion to be adenocarcinoma. (C) Ulcerative lesion: Upright single-contrast barium swallow image demonstrating irregular ulcerative lesion in upper esophagus (arrow) without significant luminal narrowing. (D) Polypoidal lesion: Upright lateral view of single-contrast barium swallow showing polyploidal filling defect in upper esophagus (arrow). Patient had severe dysphagia and aspirated small amount of barium during the procedure