Presentation
Swallowing difficulties. Barium swallow several days ago.
Patient Data
Age: 55 years
Gender: Female
From the case:
Barium bronchogram from aspiration
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Tracheostomy.
Large volume of barium aspiration in the left lower lobe giving a bronchogram of the lobar anatomy.
Background lungs hyperinflated.
Case Discussion
An impressive illustration of the bronchial anatomy of the left lower lobe to at least the subsegmental level.
Couple of practical practising points with barium swallows:
1. Ask the patient when they drink does it ever go down the wrong way'?
2. If in any doubt do a test swallow/sip with water-soluble contrastÂ
3. If they do aspirate ensure the patient gets immediate chest physiotherapy.