Presentation
Line placement.
Patient Data
Age: 80 years
Gender: Male
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Coiled distal feeding tube projects over the medial right lung base. In the neck, the proximal feeding tube is adjacent to but not in the airway. Enlarged cardiac silhouette, multifocal consolidation.
CT chest from one day prior
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Large hiatal hernia, multifocal consolidation, small bilateral pleural effusions.
Case Discussion
On the radiograph, the feeding tube tip projects over the medial right lung base, mimicking pulmonary tube placement. But in the neck, the tube is clearly adjacent to and not in the airway. A CT from the previous day shows a large hiatal hernia with a componenet located just lateral to the right heart border, corresponding to the location of the feeding tube on the next day's radiograph.
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