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Fig. 6. —55-year-old woman with peptic stricture that was judged to be equivocal by observers. Left posterior oblique double-contrast esophagogram obtained with patient upright shows that stricture (black arrows) in distal esophagus has some benign features with tapered proximal margins and some malignant features with irregular contour and tiny areas of ulceration (white arrows). Endoscopy (not shown) revealed peptic stricture in distal esophagus with associated reflux esophagitis, but endoscopic biopsy specimens revealed no evidence of tumor.

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