Although diseases of the esophagus are common, the simultaneous occurrence of two or more lesions in the organ is rare. In a number of cases it has been noted that scar tissue in cicatricial stricture of the esophagus has undergone malignant degeneration.1 It has also been noted in cases of cardiospasm that there may be associated a pulsiontraction type of diverticulum of the middle portion of the tube.2 In examination of the esophagus, the possibility of two or more independent lesions existing at the same time should always be borne in mind. The necessity for such care is illustrated by the following cases: CASE 1.—A man, aged 63, was examined at the Mayo Clinic, May 22, 1924. Ten years previously he had begun to regurgitate food during the night, and had noticed a gurgling sound when he swallowed. Eighteen months previous to examination, the symptoms had