Progressive dysphagia, heartburns and worsening nausea after meals
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Retrocardiac opacity with displacement of the azygoesophageal line
A common cause for displacement of the azygoesophageal recess is a hiatus hernia.
This patient had a barium swallow that showed a 8.5 cm diameter sliding hiatus hernia with a 4.6 cm widening of the lower esophagus, along with spontaneous gastroesophageal reflux and signs of esophagitis.