CASE 123

History: A 71-year-old man has a 16-month history of suprasternal dysphagia, which is worse with solids; the dysphagia has been worse in the last 8 months, now requiring food to be chewed to a puree consistency.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Radiation

B. Metastasis

C. Carcinoma

D. Stromal tumor

E. Crohn’s disease

2. Endoscopic biopsy confirms a malignant lesion. Which one of the following is most likely?

A. Adenocarcinoma

B. Barrett carcinoma

C. Malignant lymphoma

D. Squamous cell carcinoma

3. With a diagnosis of esophageal squamous cell carcinoma, what is the best choice of imaging modality to assist in therapeutic planning?

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