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Fig. 5. —71-year-old man with distal esophageal stricture that was judged to be malignant by observers. Left posterior oblique double-contrast esophagogram obtained with patient upright shows malignant-appearing stricture (arrows) in distal esophagus. Narrowed segment has markedly irregular contour with areas of nodularity and ulceration. Endoscopic biopsy specimens revealed esophageal adenocarcinoma.

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