29 weeks pregnant with nausea, vomiting and epigastric pain

A 32 y/o primiparous female was admitted in 29 weeks' gestation presented with nausea, vomiting and epigastric pain for 3 days. She presented normal depositions and no dyspnea. On physical examination, her abdomen was soft, bowel sounds were auscultated without abnormal findings and laboratory tests were correct. There was evidence of fetal wellbeing and there was not uterine activity. Initially, these symptoms were thought to be due to some pathology related to pregnancy, so she received hyperemesis treatment but no improvement was observed. Then, imaging tests were performed. Maternal abdominal ultrasound was normal but chest X-ray study showed air fluid levels over the diaphragm and left lung atelectasis. MRI is also attached. Please interpret

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- though pregnancy of 29 wks, eventhough it is not a job of obstetrician
Left lung atelectasis with pleural effusion. Requires surgical opinion
Left diaphragmatic hernia

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