Acute herniation of the gas- and fluid-distended fundus and body of the stomach into the left chest without evidence for volvulus or gastric ischaemia.
Associated compressive atelectasis left lower lobe and lingular segments left upper lobe, trace left pneumothorax and trace pleural fluid. Left chest tube in good position with small subcutaneous emphysema.
Moderate simple right pleural effusion and small to moderate dependent atelectasis. Possible trace pneumothorax extreme right base.
Mesh appears to bulge through the gastro-oesophageal junction.
Nasogastric tube terminates in the distal oesophagus, likely obstructed at the gastro-oesophageal junction by the herniated stomach.