Hiatal Hernia
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0643-Hiatal Hernia
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CA0643-Hiatal Hernia
Case ReportHistory
Exam
Prior Study
Findings
Technique
The exam is of diagnostic quality.
Support devices
There is an NG tube looped in a large hiatal hernia.
Cardiomediastinum
There is an air-fluid level overlying the heart on the frontal view and in the retrocardiac space on the lateral view from a large hiatal hernia. There is enlargement of the cardiac silhouette at least partially secondary to the hiatal hernia. The posterior heart border is obscured by the hiatal hernia. The azygoesophageal recess is displaced laterally by the large hiatal hernia.
Vasculature and Hila
The aorta is slightly ectatic and there is calcification in the aortic arch. The central pulmonary vessels and hila are not enlarged.
Lungs
There is no focal, multifocal, diffuse airspace disease, mass, opacity, or nodularity given the limitation of the exam. The left hemidiaphragm is focally obscured on the frontal and lateral views by the hiatal hernia.
Pleura
There is no focal or diffuse abnormality of the pleura or chest wall.
Bones, soft tissues, upper abdomen
There is a compression fracture of a mid thoracic and upper lumbar vertebral body, likely T7 and L1. These are likely chronic, but evaluation for point tenderness or comparison with older exams is recommended. The bones are osteopenic. There is a large hiatal hernia with an air-fluid level posterior to the heart. There is no free air.
