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Chest x-ray at initial presentation (left) and post left intercostal catheter insertion (right).
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A chest x-ray showed a large lucent area in the left hemithorax with a small amount hyper dense material at the bottom (Fig. 1).
Axial images of the CT chest post insertion of left intercostal catheter.
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The subsequent CT scan of the chest and abdomen revealed a large paraoesophageal hernia with the entire stomach in the left hemithorax, pressing on the mediastinum (Fig. 2).
Axial (left) and Coronal (right) views of CT chest done post-surgical reduction.
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The patient was then transferred to HDU with left ICC in-situ for close monitoring (Fig. 3).