Monday, September 24, 2007

VizD Radiograph Challenge Week of 9/24/2007

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)

Winner receives $5
To submit your answer please click on comments below.
For more information about the contest, click here.

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.


brad said...

the coin (like most swallowed coins) is in the esophagus. The trachea's cartilaginous rings are open a bit in the back, thus coins lodged in the trachea are often sagittal.

Melinda said...

the coin is in the esophagus...lucky kid!

Rern Lau, PGY 3 said...

A coin in the esophagus is usually oriented in the coronal plane. A coin in the trachea is usually oriented in the saggital plane because of the lie of the tracheal rings.

Sairah said...

Can you clarify that please. Sagittal meaning on a lateral X ray they will appear as a full circle?