Answer: VizD Radiograph Challenge Week of 9/24/2007

Congratulations to Brad, he is this week's VizD winner.

Thank you to everyone who participated!

Brad is the winner of $5


Recap:
A 5-year-old boy is brought to your ED by his parents who state that the boy boy either swallowed or inhaled a coin. The boy is stable and you get a radiograph.

What is the most likely location of the coin?

(click on image to enlarge)












Answer:
Esophagus

Coins are usually seen in a coronal alignment on anteroposterior (AP), or frontal, radiographs

If the foreign body is in the trachea, it presents in a sagittal orientation because the tracheal rings are incomplete in the posterior aspect.

The next VizD will be posted on Monday October 8

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.