Gastric fundus located above the level of the diaphragm in keeping with a hiatus hernia. There is a contrast track which extends laterally from the distal oesophagus just above the gastro-oesophageal junction leading into a left pleural collection. Contrast also passes through oesophagus into body of the stomach and gastric antrum. Left intercostal drain in situ. Findings confirm distal oesophageal-pleural fistula.