A 54-year-old male with history of esophageal varices, alcoholic cirrhosis and alcohol abuse presented with inability to swallow that started on the day of presentation to the emergency room. The patient woke up at 3 a.m. and ate steak, then went back to sleep. Shortly there after, he woke up to drink water but was unable to swallow the water and had not been able to swallow since then. The patient was coughing up yellow phlegm frequently. He had his last drink of alcohol before eating the steak and about 12 hours prior to presentation to the emergency room. His serum alcohol toxicology screen was 120 mg/dl. The patient was tremulous at presentation to the emergency room. The patient reported no blood in sputum but reported bright red blood per rectum with history of hemorrhoids and blood in urine one month ago, which had turned dark ever since.
Appl Radiol. 2016;45(9):40-44. © 2016 Anderson Publishing, Ltd.