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- Acute herniation of the gas- and fluid-distended fundus and body of the stomach into the left chest without evidence for volvulus or gastric ischaemia.
- Associated compressive atelectasis left lower lobe and lingular segments left upper lobe, trace left pneumothorax and trace pleural fluid. Left chest tube in good position with small subcutaneous emphysema.
- Moderate simple right pleural effusion and small to moderate dependent atelectasis. Possible trace pneumothorax extreme right base.
- Mesh appears to bulge through the gastro-oesophageal junction.
- Nasogastric tube terminates in the distal oesophagus, likely obstructed at the gastro-oesophageal junction by the herniated stomach.