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The gastro-esophageal junction is below the pyloro-duodenal junction; the gastric antrum is above gastro-oesophageal junction; the antrum and pylorus are superior to the fundus and proximal body and so the stomach appears of twisted configuration.
The spleen is in abnormal position, being more inferomedial in location intimately related to gastroesophageal junction (wandering spleen).
The heart is enlarged, the liver shows cirrhotic changes and mild free ascites at the perihepatic region.
Multiple bilateral small renal cysts.