Hiatus hernia

Case contributed by Varun Babu


Echo done showed dilated thoracic aorta. CT chest was asked to rule out thoracic aortic aneurysm

Patient Data

Age: 70
Gender: Female

Plain radiograph


Retrocardiac dense shadow with air fluid level. Both lower zones show increased reticular pattern with preserved costophrenic angles. Left diaphragmatic hump present. 

CT Aortogram


A sliding hiatus hernia is seen with widened esophageal opening, cranial migration of gastroesophageal junction into thorax with areas of celiac axis, pancreas and abdominal fat herniating up. No features of gastric volvulus. 

Case Discussion

This study highlights the importance of evaluating the hidden areas of chest. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.