
#EchoPearl from the week: a mixed echogenic retrocardiac mass impinging on the LA in a patient with a severe Mallory–Weiss tear. CT confirmed a hiatal hernia posterior to the LA.
Learning point: Hiatal hernias classically lie posterior to the LA and demonstrate mixed echolucent/echogenic appearance on TTE.
Alternative diagnostic trick: Oral carbonated beverage → moving bubbles within the stomach/herniated segment confirm the diagnosis. #🍺 (PMID: 17628406: pubmed.ncbi.nlm.nih.gov/17628406/)

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