Surgical resection of esophageal cance has played a prominent role in both cure and palliation. The radiologic evaluation of postesophagectomy patients is directed at the detection of normal and pathological appearances after surgical resection. Since early detection of recurrent tumor is important in the manhagement of patients who have undergone esophagectomy, we undertook a retrospective study to evalute the findings of recurrence on CT in posesophagectomy patients. Between January 1988 and July 1991, 26 patients who had undergone transthoracic esophagectomy with esophagogastrostomy for epidermoid carcinoma of the esophagus with following reoccurance were examined by chest CT. The group included 25 male and one female patients were aged 45-71 years (mean, 53). All patients had studies done immediate post operative 7-10 days. The CT were performed with a CT 9800 scanner (GE Medical System, Milwaukee) after administration of oral contrast media and intravenous injection of co trast media. The findings seen on CT were confirmed by biopsy in five cases and by clinical, radiological follow-up manifestation in 21 cases. The abnormalities that were demonstrated on follow-up CT were adenopathy - mediastinal node (ten cases) or abdominal node (five cases), local recurrence - previous tumor site (five cases), anastomotic siteI(two cases) or thoractomy site (one case), distant metastases - liver(four cases), lung(two cases) or spleen (two cases), and others - ascites (three cases), peicardial effusion (two cases). Our results indicate that serial chest CT play an important role in the evaluation of the patients after transthoracic esophagectomy with esophagogastrostomy.