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Fig. 2 —61-year-old woman with nausea, regurgitation, postprandial epigastric pain, and early satiety. Upright steep right posterior oblique radiograph from double-contrast upper gastrointestinal examination shows retention of barium in floppy fundus (small arrows) with delayed emptying of hernia. Large arrow denotes narrowing of gastric body where it traverses diaphragm. Symptoms resolved after laparoscopic reduction of hernia.