I had an esophagram today. I was found to limited primary peristalsis in the upper thoracic esophagus, and failure of secondary peristalsis. A few tertiary contractions were observed i the distal thoracic esophagus. They said I had granular mucosal with mildly thickened folds. It may be indicative of reflux esophagitis given theat there was a demonstration of refluc to the level of the upper thoracic esophagus during the exam. There were no esophageal strictrures or mass examined. I am in my 40's, and otherwise fair health. I have a GERD issues with bronchitis, etc. I wonder is this necessarily something very bad or could it be something that is easy to treat or palliative, and where I can have a normal life?

Lastly, how should I follow this up? I was going to an ENT, is an ENT able to handle this? Should I go to a GI? Do you see this as a potential event that I should hastily take care of? 
 

See below:

DIAGNOSTIC RADIOLOGY - Jun 22 2015 2:58PM - BARIUM SWALLOW/ESOPHAGUS
CLINICAL HISTORY: Dysphagia
FLUOROSCOPY TIME: 1 minute, 5 seconds.
COMMENT: An esophagram was performed following the patient's video speech
pathology exam. There is limited primary peristalsis in the upper
thoracic esophagus and failure of secondary peristalsis. A few tertiary
contractions are observed in the distal thoracic esophagus. The esophagus
demonstrates a granular mucosal with mildly thickened folds. This is
probably indicative of reflux esophagitis given demonstration of
gastroesophageal reflux to the level of the upper thoracic esophagus
during the exam. There is no esophageal stricture or mass at this time.
IMPRESSION:
1. Gastroesophageal reflux.
2. Pronounced esophageal dysmotility. It is not entirely clear that this
is secondary to the patient's gastroesophageal reflux disease.
Transcribed by: n/a : Jun 22 2015 3:35P
Dictated by: DONALD G SAMUELSON M.D.: Jun 22 2015
3:35P
Dictation signed by: DONALD G SAMUELSON M.D.: Jun 22 2015 3:39P
CPT Code: 74220