Hiatus hernia on chest x-ray

Case contributed by Dr Henry Knipe

Presentation

Cough.

Patient Data

Age: 70 years
Gender: Female
Modality: X-ray

Lungs and pleural spaces are clear. Cardiomediastinal contour is normal. Retrocardiac opacity in the midline, demonstrated to be a hiatus hernia on subsequent CT. 

Modality: CT

CT confirms a large hiatus hernia. 

Case Discussion

Differential diagnosis for this chest x-ray appearance includes:

  • paraspinal opacity from haematoma or infection
  • posterior mediastinal mass, e.g. oesopahgeal tumour
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Case Information

rID: 46736
Case created: 14th Jul 2016
Last edited: 5th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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