Nasogastric tube at gastro-oesophageal junction
Nasogastric tube check. Unsafe swallow following neck dissection for ENT tumour. No aspirate gained.
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Nasogastric tube descends thorax in midline but tip is just at level of diaphragm. Should be advanced further and checked again.
Surgical clips noted. Lung fields clear.
This is a case where the NG tube is likely to be in the GI tract, but is not properly placed in the stomach.
If advanced slightly, the tip will be in the stomach and either aspirate will be gained, or can be checked again by x-ray.