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Fig. 4A. —Type 2 paraesophageal hernia with redescending of fundus in 64-year-old man. Axial CT images obtained at level of left ventricle (A) and diaphragmatic defect (B) show nasogastric tube (arrow, A) in place with tip in fundus below diaphragm. Esophagogastric junction is in normal position. Gastric antrum (A) and duodenum are in thorax. Gastric fundus (F, B) is distended with contrast material. Gastric fundus has either redescended into abdomen or there is primary herniation of body and antrum only. Stomach has rotated mesenteroaxially. Esophagus (short white arrow, B), duodenum (long white arrow, B), and compressed gastric body (black arrow, B) obtained at level of widened diaphragmatic hiatus are shown.