Presentation
Substernal chest pain.
Patient Data



A gas-filled lucent lesion is projected over the region of the esophageal hiatus.



A portion of the fundus of the stomach is seen above the left hemidiaphragm, consistent with a hiatus hernia.
Case Discussion
A plain film is suggestive of hiatal hernia. The barium swallow is diagnostic for hiatal hernia.
Diagnosis: Hiatal hernia, paraesophageal.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Pediatric Radiologist,
Olive View - UCLA Medical Center.