A lady presented with non progressive dysphagia only for solids. Barium study showed proximal esophageal dilatation with distal constriction. The most likely diagnosis is.
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.
Peptic Stricture
Carcinoma Esophagus
Achalasia Cardia
Lower Esophageal Ring