Case presentation A 32-year-old male patient presented to the emergency department complaining of dysphagia. The symptoms began one week before the hospital visit. The patient characterized dysphagia as a choking sensation and the feeling of food becoming lodged in his chest. Belching helped to alleviate dysphagia to some extent.

The patient also complained of pyrosis and occasional vomiting. Nausea, stomach discomfort, or changes in bowel habits were not reported. Medical history The patient tested positive for COVID-19 a few months ago. Endorsed subacute cough for 3-4 weeks of duration Clinical investigations HR: 94 RR: 19 O2 sat: 100% RA BP: 129/81 Angiotensin-converting enzyme level elevated  to 81 U/L Radiographic findings  A CT scan of the chest with contrast revealed prominent mediastinal and bilateral hilar adenopathy, multiple pulmonary nodules, and mild interlobular septal…