PMC2817870_01
Chest Radiograph. Chest radiograph demonstrating the stomach bubble (white asterisk) projecting over the heart and a portion of the transverse colon that communicates with the abdominal cavity superimposed over the right heart border (black arrowheads).
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F1
Chest radiograph (figure 1) demonstrated portions of the stomach and colon projecting over the heart.
Chest Computed Tomography Scan. Sagittal oblique multiplanar reformat (MPR) from outside CT scan demonstrating discontinuity of diaphragm (white arrows) through which portions of the stomach (S) and transverse colon (C) have herniated.
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F2
Review of a recent thoracic computed tomographic (CT) scan (figure 2) demonstrated transdiaphragmatic herniation of portions of the stomach and transverse colon.
Cardiovascular Magnetic Resonance. (a) Axial true FISP image through the lower pericardial sac demonstrating portions of the stomach (S) and transverse colon (C) within the pericardial sac (white arrows), surrounding the right (RV) and left (LV) ventricles. (b) Axial true FISP image at the level of the aortic (AV) and pulmonic (PV) valves demonstrating a long segment of transverse colon within the pericardial sac.
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F3
CMR revealed a segment of the transverse colon and portions of the stomach within the pericardial sac anterior to both ventricles (figure 3; Additional Files 1 &2).