Intrathoracic stomach

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 80
Gender: Male
x-ray

Right lower zone opacity with air-fluid level. Linear lucency coursing form the peripheral right midzone to below the left hemidiaphragm. No focal consolidation. 

Case Discussion

CT (not shown) confirmed an intra-thoracic stomach as a result of a large hiatus hernia, which also contained segment of colon, which is represented by the linear opacity running from the right midzone to the LUQ. 

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