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Since COPD patients routinely undergo CT scans of the thorax, our aim was to 1) formally define hiatal hernia seen on CT and 2) determine if these findings can be used as a visual marker to identify patients who may be frequent exacerbators, especially given the relationship between GERD and increased COPD exacerbations

24 m image stacks were collected with an optical sectioning of 0.2 m using 100 (spinning disk), or 0.35 m using 63 (Leica SP8) oil immersion objectives

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