Presentation
Left sided chest pain
Patient Data
Protrusion of the stomach and gastroesophageal junction through the esophageal hiatus into the right thoracic cavity. The oesophagal hiatus is widened.
Basal atelectasis is noted in lower lobes of both lungs. Left side mild pleural effusion.
Multiple enlarged mediastinal lymph nodes are noted some of them showing calcific changes could be sequelae of previous disease.
Case Discussion
Widened oesophagal hiatus with protrusion of gastroesophageal junction and stomach through oesophagal hiatus into right thoracic cavity representing a sliding hiatal hernia.
Low density filling defects of segmental branches of the left lower lobe pulmonary artery and single segmental branch of the right lower lobe pulmonary artery representing bilateral acute PEs.
Shallow left sided pleural effusion and middle lobe, lingular and bilateral lower lobe atelectasis.
This case is contributed by Dr Naqibullah Foladi and Dr Mohammad Tahir Aien.
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