Presentation
Cough.
Patient Data
Age: 70 years
Gender: Female
From the case:
Hiatus hernia (chest x-ray)
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Lungs and pleural spaces are clear. Cardiomediastinal contour is normal. Retrocardiac opacity in the midline, demonstrated to be a hiatus hernia on subsequent CT.
From the case:
Hiatus hernia (chest x-ray)
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CT confirms a large hiatus hernia.
Case Discussion
Differential diagnosis for this chest x-ray appearance includes:
- paraspinal opacity from hematoma or infection
- posterior mediastinal mass, e.g. oesopahgeal tumor
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