This child was referred to the ED after an astute primary care doctor got a chest xray in the setting of a week of throwing up after eating:
The PA/LAT chest xray views above show a radioopaque object near the thoracic inlet. The object resembles the shape and size of a penny. Interestingly, on the lateral it almost looks like two pennies lying on top of each other. The patient was taken to the OR and esophagoscopy was used to pull two pennies out of her upper esophagus.
On xray, how can you differentiate between tracheal and esophageal foreign bodies?
Author: Russell Jones, MD