We present a case of a 49-year-old white female who complained of a chronic cough for 1 year. Computed tomography (CT) of the chest revealed abnormal thickening of the thoracic esophagus. Esophagogastroduodenoscopy (EGD) revealed diffuse multiple masses in the esophagus, which appeared separate. Histopathology of the masses revealed adenocarcinoma.