On barium swallow the grade IV esophageal varices appear as
Esophageal varices presents as serpiginous filling defects (arrows) in the esophagus below the level of carina Radiological Grading of varices Grade I- Straight varices seen only on inspiration Grade II- Straight varices seen in all phases of respiration Grade III- Touous varices in lower half of esophagus Grade IV- Touous varices in entire esophagus Ref: surgical disease in tropical countries Pgno : 130
Mucosal folds above the carina
Mucosal folds below the carina
Mucosal folds at the carina
A thick band
G.I.T