Patient presents with complaints consistent with Schatzki ring symptoms, including intermittent dysphagia, food impaction, and occasionally heartburn.  The patient reports difficulty swallowing solid foods, particularly meat and bread, which is often relieved by regurgitation or drinking liquids.  Symptoms are episodic and have been present for approximately [duration].  History includes [relevant medical history, e.g., GERD, hiatal hernia, eosinophilic esophagitis].  Physical examination was unremarkable.  An esophagogastroduodenoscopy (EGD) was performed revealing a circumferential, smooth, narrow ring-like constriction in the distal esophagus, consistent with a Schatzki ring, located approximately 3-4 cm proximal to the gastroesophageal junction.  The esophageal mucosa appeared [describe appearance, e.g., normal, inflamed, edematous].  Biopsies were taken [if applicable, specify location and purpose].  The working diagnosis is Schatzki ring (B83.3).  Differential diagnosis includes esophageal stricture, esophageal web, eosinophilic esophagitis, and peptic stricture.  Treatment plan includes esophageal dilation with a [size] bougie, patient education on dietary modifications including smaller bites and thorough chewing, and management of underlying gastroesophageal reflux disease (GERD) if present with [mention medication or lifestyle changes].  Follow-up EGD is scheduled in [timeframe] to assess treatment efficacy and rule out recurrence.  Patient was instructed on the signs and symptoms of esophageal perforation and advised to seek immediate medical attention if experiencing severe chest pain, fever, or difficulty breathing.  ICD-10 code B83.3 and appropriate CPT codes for the EGD and dilation will be used for billing purposes.