Presentation
Chest x-ray to assess progression of pneumonia and confirm nasogastric tube position.
Patient Data
Nasogastric tube is positioned within the left lower lobe bronchus and repositioning is required.
Ill-defined air space opacity in the right mid and lower zone associated peribronchovascular thickening likely due to infection or aspiration. Probable small right pleural effusion.
Tip of the weighted nasogastric tube is located within the gastric body.
Ill-defined nodular opacities and subtle interstitial thickening in the right mid/lower zone and medial left lower zone has slowly improved since earlier radiograph from day 1 and likely due to aspiration or infection.
Case Discussion
The ideal position of a nasogastric tube should be in the sub-diaphragmatic position in the stomach. Ideally it should be at least 10 cm beyond the gastro-esophageal junction 1.
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