This is a case of a 70-year-old male with a medical history significant for hypertension, hypercholesterolemia, melanoma, and atrial fibrillation who presented with complaints of heartburn, nausea, and abdominal bloating. Patient reported to also have hiccups along with nausea but no episodes of vomiting. Patient endorsed mild abdominal distention. He denied abdominal pain, hematochezia, melena, hematemesis, change in bowel movements, or weight loss. Physical exam did not reveal any abnormalities. Routine blood work was unremarkable. Initially, our patient was treated for dyspepsia with a trial of PPI. He was scheduled for an EGD, which revealed an incidental 5  mm polypoid appearing lesion in the distal esophagus above the gastroesophageal junction (Figures 1 and 2). Biopsy results revealed squamous mucosa with active esophagitis and associated cardiac-type mucosa with focal pancreatic heterotopia and chronic inflammation in the distal esophagus (Figures 3-5). Given the relatively small size of the lesion, it was resected endoscopically. The patient was treated conservatively with supportive with PPI for his gastric inflammation and symptoms. Patient is to be followed in one year for surveillance of the lesion with biopsy. Patient may need an endoscopic ultrasound (EUS) depending on his surveillance EGD results.