Image Challenge

What is the Diagnosis?

1. Achalasia

2. Esophageal cancer

3. Esophageal Web

4. GERD

5. Nutcracker esophagus

Answer : Nutcracker esophagus

The barium swallow shows a typical corkscrew appearance consistent with nutcracker esophagus. High-resolution manometry of the esophagus confirmed a hypertensive peristaltic disorder of the esophagus.