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CT scan finding with manometry catheter in place. (A) Upper gastrointestinal (UGI) series show a patient with type 3 hiatal hernia (HH). (B) High-resolution manometry (HRM) esophagogastric junction (EGJ). Pattern 2 is consistent with the presence of stomach above the diaphragm and the tip of catheter in the abdomen. (C) On a separate day, the manometry catheter could not be advanced into the abdomen as shown in the coronal image. (D) HRM pattern is consistent with HRM EGJ pattern 3.
