Presentation
Echo done showed dilated thoracic aorta. CT chest was asked to rule out thoracic aortic aneurysm
Patient Data
Age: 70
Gender: Female
Frontal
Retrocardiac dense shadow with air fluid level. Both lower zones show increased reticular pattern with preserved costophrenic angles. Left diaphragmatic hump present.
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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.
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