Lateral spot image from an upper GI shows multiple small ulcerations in the esophageal mucosa and a fixed tight narrowing of the distal esophagus in the middle of the image which never opened up during the exam. Gastroesohageal reflux was also demonstrated throughout the exam
The diagnosis was a distal esophageal stricture due to esophagitis from gastroesophageal reflux.
Pediatric Imaging 