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Hiatal Hernia
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MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
ABSTRACT
Diagnosis: Hiatal Hernia History: 74 year old female with dyspnea on exertion. Findings: Frontal and lateral chest radiographs demonstrate no acute cardiopulmonary disease (clear lungs) as well as senescent change within the aorta and spine. Additionally a soft tissue density mass is present within the middle mediastinum with an internal air fluid level behind the heart disrupting the azygoesophageal edge. Axial CT images with oral and intravenous contrast material demonstrate a sliding hiatal hernia with the gastroesophageal junction and a portion of the proximal stomach superior to the diaphragm. An MPR obliqued image further demonstrates this superior migration of the gastroesophageal junction into the thorax. Ddx: Based upon the radiographs: Hiatial hernia (sliding versus paraesophageal versus mixed) Foregut duplication cyst Abscess Necrotic lymph node with cavitation Diagnosis of a sliding hiatal hernia is confirmed with CT. Dxhow: Contrast enhanced CT Exam: N/A No MeSH data available. |
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MPX2583_synpic35299: Frontal and lateral chest radiographs demonstrate no acute cardiopulmonary disease (clear lungs) as well as senescent change within the aorta and spine. Additionally a soft tissue density mass is present within the middle mediastinum with an internal air fluid level behind the heart disrupting the azygoesophageal edge. |
View Article: MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
Diagnosis: Hiatal Hernia
History: 74 year old female with dyspnea on exertion.
Findings: Frontal and lateral chest radiographs demonstrate no acute cardiopulmonary disease (clear lungs) as well as senescent change within the aorta and spine. Additionally a soft tissue density mass is present within the middle mediastinum with an internal air fluid level behind the heart disrupting the azygoesophageal edge. Axial CT images with oral and intravenous contrast material demonstrate a sliding hiatal hernia with the gastroesophageal junction and a portion of the proximal stomach superior to the diaphragm. An MPR obliqued image further demonstrates this superior migration of the gastroesophageal junction into the thorax.
Ddx: Based upon the radiographs: Hiatial hernia (sliding versus paraesophageal versus mixed) Foregut duplication cyst Abscess Necrotic lymph node with cavitation Diagnosis of a sliding hiatal hernia is confirmed with CT.
Dxhow: Contrast enhanced CT
Exam: N/A
No MeSH data available.
