A 17 year old male with right Isomerism presenting with dysphagia. Contrast enhanced CT abdomen demonstrates stomach on the right side of abdomen (white arrow), midline portal vein (*), piggy back IVC (arrowhead). (Protocol: Siemens Somatom, dual slice CT at 96 mAs and 136 kV, 5 mm slice thickness, contrast enhanced with 60 ml of intravenous Omnipaque).