PMC3825969_01
(a) Antero posterior chest X-ray shows elevation of the left hemi-diaphragm, volume reduction of the left lung and minimal displacement of the mediastinum to the right. (b) Lateral chest X-ray shows elevation of the right hemi-diaphragm and the cardiac silhouette behind the gastric bubble.
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A postero-anterior and lateral chest X-ray (Fig. 1) showed a prominent gastric bubble and elevation of the left hemi-diaphragm.
(a) Transverse thoraco-abdominal CT shows a defect of the left hemi-diaphragm with an intra-thoracic stomach. (b) Longitudinal thoraco-abdominal CT shows stomach protrusion up to the heart level through a diaphragmatic defect, increased peri-gastric fat in the abdominal cavity and esophageal dilatation. (c) Lateral thoraco-abdominal CT showing the elevation of the right hemi-diaphragma, with an intra-thoracic stomach compressing the right lung.
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A subsequent computed tomogram (Fig. 2) demonstrated a left hemi-diaphragmatic defect with herniation of the stomach into the thorax.