Clinical History: An 84-year-old male patient, known case of HTN and dyslipidemia, complaining of dysphasia for three months. Anorexia and vomiting. Diagnosed as esophageal adenocarcinoma outside for evaluation.

A CT scan of chest with IV contrast and CT of the abdomen and pelvis done with IV and oral negative contrast.

Thickening of distal esophagus