There is a type I sliding hiatal hernia with fluid and gastric contents within the oesophagus suggesting gastro-oesophageal reflux and alluding to the cause of the acute aspiration pneumonitis experienced during general anaesthesia. There is intermittent reflux even between the non-contrast and post-contrast phases in a recumbent position during CT performance as demonstrated within the oesophagus between the 2 phases.
There are typical changes with the posterior and dependent segments of the right upper lobe, right middle lobe, and left upper lobe including the singular segment. These include a combination of tree-in-bud within the left upper lobe, and ground glass opacity within the rest of the affected segments.
There is subsegmental atelectasis within the right lower lobe often a normal post recent anaesthetic finding.
There are no aspirated contents within the airways.