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Fig. 3. —60-year-old man with secondary achalasia caused by lung carcinoma. Spot radiograph from single-contrast barium study shows 5-cm-long symmetric, tapered narrowing (arrows) of distal esophagus with esophageal diameter proximally of 6 cm. Note fine irregularity of contour of distal esophagus above narrowed segment caused by superimposed infection with Candida esophagitis organisms proven on endoscopy.





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