Large incidental esophageal leiomyoma: Radiological findings

Benign tumors of the esophagus are rare, the most common of them being leiomyomas. Malignant transformation is extremely rare, and they are often asymptomatic. Tumors larger than 5 cm frequently cause symptoms such as epigastric discomfort, heartburn, or dysphagia. We describe the case of a 57-year-old male with the presumptive diagnosis of esophageal leiomyoma, asymptomatic and incidentally discovered on a chest radiograph. The computerized tomography demonstrated an isodense and well-demarcated lesion from the esophagus, and the upper endoscopy confirmed an intact mucosa. The lesion has been stable for at least 6 years, and the patient remains asymptomatic.