Limits...
Hiatal Hernia

Morgan LMM - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Hiatal Hernia

History: 83 y.o. woman with shortness of breath.

Findings: PA and lateral radiographs of the chest. FINDINGS: -There is near complete opacification of the left hemidiaphragm. There is consolidation and/or atelectasis with accompanying effusion present on the left. Small right basilar opacities are present with a small right effusion. There is no evidence of pneumothorax. The cardiac silhouette is stable. A large hiatal hernia is present. Calcifications are seen within the thoracic aorta. The remainder of the visualized bones and soft tissues are remarkable for degenerative changes to the acromioclavicular joint and spine. IMPRESSION: 1. LEFT LUNG BASE CONSOLIDATION AND/OR ATELECTASIS WITH ACCOMPANYING EFFUSION WITH SMALLER BASILAR RIGHT OPACITY AND EFFUSION. 2. LARGE HIATAL HERNIA. CT chest PE protocol. FINDINGS: -The study is somewhat limited by motion artifact. The mediastinal, hilar and pulmonary parenchyma vasculature appear widely patent and normal in course, caliber and contour without evidence of filling defects. There is a large hiatal hernia. Otherwise, there are no mediastinal or hilar masses identified, and no adenopathy is evident. Atherosclerotic calcific changes of the aorta and coronary arteries are present. There is no evidence of aneurysmal dilation. Left greater than right-sided simple-appearing pleural effusions are present with underlying compressive atelectasis. The lungs are otherwise clear and evenly aerated without evidence of mass, calcification or pulmonary parenchymal disease. The airways appear normal, and no thickening is evident. Multilevel degenerative changes of the thoracic spine are seen. The visualized upper abdomen as well as the remainder of the visualized soft tissues and osseous structures are unremarkable. IMPRESSION: 1. NO COMPUTED TOMOGRAPHIC EVIDENCE OF PULMONARY EMBOLISM. 2. LEFT GREATER THAN RIGHT-SIDED SIMPLE-APPEARING PLEURAL EFFUSIONS WITH SUBJACENT COMPRESSIVE ATELECTASIS. 3. LARGE HIATAL HERNIA.

Ddx: DDx for atelectasis: asbestosis pneumonia pulmonary embolism respiratory failure carcinoma blunt chest trauma diaphragmatic paralysis DDx hiatal hernia mass lesion in central chest congenital diaphragmatic hernia

Dxhow: Barium swallow

No MeSH data available.


© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2015&req=5


Hiatal Hernia

Morgan LMM - MedPix (2009)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2015&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Hiatal Hernia

History: 83 y.o. woman with shortness of breath.

Findings: PA and lateral radiographs of the chest. FINDINGS: -There is near complete opacification of the left hemidiaphragm. There is consolidation and/or atelectasis with accompanying effusion present on the left. Small right basilar opacities are present with a small right effusion. There is no evidence of pneumothorax. The cardiac silhouette is stable. A large hiatal hernia is present. Calcifications are seen within the thoracic aorta. The remainder of the visualized bones and soft tissues are remarkable for degenerative changes to the acromioclavicular joint and spine. IMPRESSION: 1. LEFT LUNG BASE CONSOLIDATION AND/OR ATELECTASIS WITH ACCOMPANYING EFFUSION WITH SMALLER BASILAR RIGHT OPACITY AND EFFUSION. 2. LARGE HIATAL HERNIA. CT chest PE protocol. FINDINGS: -The study is somewhat limited by motion artifact. The mediastinal, hilar and pulmonary parenchyma vasculature appear widely patent and normal in course, caliber and contour without evidence of filling defects. There is a large hiatal hernia. Otherwise, there are no mediastinal or hilar masses identified, and no adenopathy is evident. Atherosclerotic calcific changes of the aorta and coronary arteries are present. There is no evidence of aneurysmal dilation. Left greater than right-sided simple-appearing pleural effusions are present with underlying compressive atelectasis. The lungs are otherwise clear and evenly aerated without evidence of mass, calcification or pulmonary parenchymal disease. The airways appear normal, and no thickening is evident. Multilevel degenerative changes of the thoracic spine are seen. The visualized upper abdomen as well as the remainder of the visualized soft tissues and osseous structures are unremarkable. IMPRESSION: 1. NO COMPUTED TOMOGRAPHIC EVIDENCE OF PULMONARY EMBOLISM. 2. LEFT GREATER THAN RIGHT-SIDED SIMPLE-APPEARING PLEURAL EFFUSIONS WITH SUBJACENT COMPRESSIVE ATELECTASIS. 3. LARGE HIATAL HERNIA.

Ddx: DDx for atelectasis: asbestosis pneumonia pulmonary embolism respiratory failure carcinoma blunt chest trauma diaphragmatic paralysis DDx hiatal hernia mass lesion in central chest congenital diaphragmatic hernia

Dxhow: Barium swallow

No MeSH data available.