Question: A 71-year-old woman with a past medical history of living unrelated donor transplant done 15 years ago for primary biliary cirrhosis was referred for evaluation of dysphagia. Dysphagia was primarily to solid foods and later progressed to thick liquids. Symptoms started 1 year ago, and were associated with 100-pound weight-loss. There was no associated odynophagia, cough during swallowing, nasal regurgitation, food impaction, or gastrointestinal bleeding. She had mild gastroesophageal reflux symptoms.