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Fig. 1. 50-year-old man with primary achalasia. Spot radiograph from
double-contrast barium study shows 1-cm-long smooth, tapered narrowing
(straight arrow) of distal esophagus with esophageal diameter
proximally of 6 cm. Note standing column of barium (curved arrow) on
this upright view. Short length of narrowed segment is characteristic of
primary achalasia.
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