A 27-years-old male presented with progressively worsening dysphagia for four years. The dysphagia was worse for solids, and for the past three months, the patient had restricted his diet to liquids and pureed foods. He had also developed some hoarseness in his voice during this time. Past medical history was significant for gastroesophageal reflux disease, hypertension and hyperlipidemia. Physical examination was unremarkable.