Dysphagia is a common presenting symptom in lung transplant patients, especially post-operatively. Lot of emphasis is laid on them passing a swallow test before resuming oral diet. Some cases are intrinsically linked to the associated condition such as scleroderma while others present with reflux and dysmotility or gastroparesis. Sometimes there might be an anatomical condition which might lurk in the shadows as we tend to generalize these complaints. In this context we present this case with an aberrant right subclavian artery compressing the esophagus and compounding the dysphagia. With the proper diagnostic imaging techniques, the medical team and surgical team were able to successfully come to the appropriate diagnosis