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Fig. 2. —23-year-old woman with primary achalasia. Spot radiograph from double-contrast barium study shows 3.5-cm-long, gradually tapered segment of narrowing (straight arrows) in distal esophagus with esophageal diameter proximally of 7 cm and standing column of barium (curved arrow). This was longest segment of narrowing shown on radiography in a patient with primary achalasia.





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