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Fig. 8B. —Type 4 paraesophageal hernia in 53-year-old man. Radiograph from barium upper gastrointestinal series obtained with patient in prone position shows that entire stomach is in intrathoracic location. Stomach has rotated organoaxially 180° in anterior direction, as revealed on other images (not shown). Air collection (arrow) in mediastinum indicates that other viscera have herniated. (Reprinted with permission from [2])

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