Heart in the heart

Here is a simple question.
Can you see anything unusual and funny on the chest radiograph?

There is an inverted love mark in the cardiac silhouette.
So, you would say, "Heart in the heart!"

A diagnosis of esophageal hiatal hernia was confirmed by computed tomography and gastroscopy. The upside down heart in the present case was likely to be created by the trapping air in the stomach protruding into the chest cavity through the opening of the diaphragm.

The patient has been doing well for almost three years with antacids.