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Fig. 10C. —Type 2 paraesophageal hernia with obstruction in 68-year-old woman. (Reprinted with permission from [2]) Follow-up (delayed) radiograph from gastrointestinal series (C) and drawing of radiograph (D) after more barium was given show that previously distended stomach is now decompressed. This caused fundus to return to its intrathoracic location. Paraesophageal hernia type 2, involving entire stomach with 180° anterior rotation, is now shown. Torsion sites at esophagogastric junction and distal antrum are visualized at level of hiatus. Nodular defects in wall of fundus (arrows) are due to edema or mural hemorrhage.