Follow up after left breast lumpectomy
CT Chest with contrast
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The stomach is herniated at the lower mediastinum with preserved gastroduodenal junction in place. It showed diffuse wall thickening (endoscopy not available). It displaces the descending thoracic aorta to the left side and compresses the surrounding lung parenchyma.
- right sided aortic arch with aberrant left subclavian artery
- cardiac enlargement
- nodular goiter
- fluid collection at the surgical bed of left lumpectomy
- scoliosis of the lumbar spine with convexity to the right
- right renal upper pole cyst
Intrathoracic stomachs are rare and considered the end stage of a hiatus hernia. Type IV hiatus hernias are the total herniation of the stomach. Other organs can also be herniated into the chest such as the colon, omentum, small bowel, and liver.
In addition, there is a right-sided aortic arch with aberrant left subclavian artery (type II), which is displaced to the left side by the herniated stomach.