h/o gastroesophageal refux. Under evaluation.
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Barium study shows a barium outlined stomach which has herniated into the thoracic cavity along with the gastro-esophageal junction which is evident on AP and oblique views.
1 case question available
This is a case of large hiatus hernia wherein a major part of the stomach has herniated.
For the purpose of elicitation x-ray were taken in supine, prone, oblique and head low positions.