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Medicine General b65fd8a4

A lady presented with non progressive dysphagia only for solids. Barium study showed proximal esophageal dilatation with distal constriction. The most likely diagnosis is.

A
Peptic Stricture
B
Carcinoma Esophagus
C
Achalasia Cardia
D
Lower Esophageal Ring
High-Yield Explanation
Answer is D (Lower esophageal ring) Non progressive (episodic) dysphagia only for solids is characteristic of lower esophageal rings (Schatzki's ring). The ring is apparent as a constriction in the lower esophagus on barium swallow. Peptic stricture and carcinoma esophagus present with progressive dysphagia for solids while Achalasia presents with progressive dysphagia for both solids and liquids.

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