Presentation
Fatigue, dry cough and dyspnea.
Patient Data
Age: 85 years
Gender: Male
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Frontal

Mediastinal enlargement due to a hiatus hernia with gastrointestinal protrusion into the mediastinum.
Case Discussion
Hiatus hernias occur when there is herniation abdominal contents through the esophageal hiatus of the diaphragm into the thoracic cavity.