Asked for Male | 77 Years
Is esophageal adenocarcinoma causing food sticking issue?
Patient's Query
My father complaining from food sticking in esophagus I have ct scan findings . CT Scan Chest Abdomen & Pelvis CE: PROTOCOL CT scan shows axial images of 5mm slices obtained from level of diaphragm up to the lower border of symphysis. pubis with I/V contrast. Reporting was done at the work station. CHEST FINDINGS: Multiple tiny ground glass nodules are seen in bilateral lower lobes predominantly on right. A small calcified nodule is noted in right upper lobe in peripheral sub pleural location likely old calcified granuloma. Enlarged calcified mediastinal and hilar lymph nodes are seen largest one measuring 1.4 cm in location. No evidence of pleural effusion seen on either side. Extensive atherosclerotic calcifications are seen in aorta and its branches. Imaged portions of heart appear unremarkable ABDOMEN AND PELVIS FINDINGS: The distal third of esophagus shows asymmetric increased circumferential wall thickening involving about 4.2cm of distal esophagus extending to the gastroesophageal junction, causing luminal narrowing. It is showing enhancement on post contrast images. The fat planes around the esophagus are preserved and there is no evidence of invasion into adjacent structures. A few (2 lymph nodes) prominent lymph nodes are seen in the distal peri esophageal location largest one measuring 7.3mm. Liver, gallbladder, pancreas and spleen appear unremarkable. Multiple fluid density cysts of variable sizes are seen in both kidneys; largest one in left kidney measure 2.6 x 2.3 cm in left upper pole and 1.2 x 1.2 cm in in right inter polar region. Both adrenal glands appear unremarkable. ■No significant ascites or lymphadenopathy noted. Imaged bowel structures appear unremarkable. Prostate and urinary bladder appear unremarkable. Imaged sections through bones and spine appear unremarkable. No evidence of definite lytic or sclerotic lesion noted. IMPRESSION: Status: Biopsy proven case of esophageal adenocarcinoma. Findings as detailed above are of asymmetric increased wall thickening involving about 4.2cm of distal esophagus and gastroesophageal junction, causing luminal narrowing however no evidence of proximal obstruction noted. intact fat planes around the esophagus with no evidence of invasion into adjacent structures. Two prominent lymph nodes in peri esophageal region. Multiple tiny nodules of ground glass haze in bilateral lower lobes.... highly suspicious for lung metastasis from esophageal primary. No evidence of bony or hepatic metastasis in current scan. Needs clinical correlation.
Answered by Dr. Samrat Jankar
Your father is suffering from some sort of food stuck in his esophagus. A CT scan that your father had done shows that he suffers from esophageal adenocarcinoma, which is a kind of cancer located in the esophagus. Such conditions can lead to difficulties in swallowing, chest pain, and losing weight. The treatment options may consist of surgery, chemotherapy, and radiation therapy. Communicating with his gastroenterologist is the best way for you to arrive at an effective plan.

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