Presentation
4 day history of mid neck pain when swallowing either solid or liquid. Patient referred symptoms initiated after eating fish.
Patient Data

There is a marked widening of the prevertebral space and a dense linear structure is noted within.
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The CT shows a hyperdense linear structure (fishbone) located in the right prevertebral space associated with gas and small fluid collection.
Airway is not compromised.
Incidental right maxillary sinus congestion.
Case Discussion
Fishbone injury, as in this case, can produce esophageal perforation. Complications associated with this kind of injury are paraesophageal abscess, retropharyngeal abscess and airway injury.