case_images: PMC6348844_01
case_images: Barium swallow showing classic bird beak configuration consistent with achalasia.
case_images: CRIGM2019-1803036.001.jpg
case_images: PMC6348844_01_CRIGM2019-1803036.001.jpg
case_images: fig1
case_images: On admission workup included a barium swallow showing abrupt tapering of the gastroesophageal junction with a bird beak configuration consistent with achalasia (Figure 1).
case_images: CT scan (coronal view) showing a 12 x 12 soft tissue mass in the gastrohepatic omentum (blue arrows) compressing the distal esophagus (yellow arrow) and gastric fundus.
case_images: CRIGM2019-1803036.002.jpg
case_images: PMC6348844_01_CRIGM2019-1803036.002.jpg
case_images: fig2
case_images: This showed a 12 x 12 soft tissue mass in the gastrohepatic omentum compressing the distal esophagus and gastric fundus (Figures 2 and 3).
case_images: CT scan (axial view) showing a 12 x 12 soft tissue mass in the gastrohepatic omentum (blue arrows) compressing the distal esophagus (yellow arrow) and gastric fundus.
case_images: CRIGM2019-1803036.003.jpg
case_images: PMC6348844_01_CRIGM2019-1803036.003.jpg
case_images: fig3
case_images: This showed a 12 x 12 soft tissue mass in the gastrohepatic omentum compressing the distal esophagus and gastric fundus (Figures 2 and 3).
case_images: Biopsy (hematoxylin and eosin stain) showing a classic "starry sky" appearance consistent with Burkitt's lymphoma.
case_images: CRIGM2019-1803036.004.jpg
case_images: PMC6348844_01_CRIGM2019-1803036.004.jpg
case_images: fig4
case_images: Instead a CT guided biopsy was done, the results of which showed a classic "starry sky" appearance consistent with Burkitt's lymphoma (Figure 4).
case_images: Barium swallow showing resolution of bird beak appearance with complete filling of the stomach.
case_images: CRIGM2019-1803036.005.jpg
case_images: PMC6348844_01_CRIGM2019-1803036.005.jpg
case_images: fig5
case_images: Repeat barium swallow was done showing resolution of the previously seen birds beak appearance with complete esophagogastric emptying (Figure 5).