History: 60 year old male with chest pain.
Esophageal hiatal hernia: Single frontal radiograph of the chest shows a retrocardiac gas-liquid level compatible with an esophageal hiatal hernia.
Typical appearance of a large esophageal hiatal hernia containing stomach gas and liquid contents. There are two main types of esophageal hiatal hernias, sliding and paraesophageal.
Esophageal hiatal hernia – lateral radiograph of the chest in a different patient reveals a large retrocardiac air fluid level (yellow arrows), compatible with an esophageal hiatal hernia.
Schematic diagram of different types of hiatal hernia. A: Normal anatomy B: Pre-stage C: Sliding hiatus hernia D: Paraesophageal hiatus hernia Esophagus Stomach Diaphragm HIS angle (Photo credit: Wikipedia)