Hiatus hernia

Case contributed by Servet Kahveci
Diagnosis almost certain

Presentation

Chest pain and shortness of breath

Patient Data

Age: 85 years
Gender: Female
x-ray

Rounded density with air-fluid level superimposed over the cardiac silhouette is compatible with a hiatus hernia.

Case Discussion

Retrocardiac opacity with gas-fluid level is a typical radiographic appearance of a hiatus hernia.

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