Nasogastric tube in bronchus
Patient recovering from multi-trauma.
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The NGT has been advanced down the left main bronchus with the tip in the left lower lobe bronchus (position corrected on subsequent imaging). Right-sided PICC remains in position. Bilateral lower to mid zone air space opacities. No large pleural effusions.
As anyone who has inserted nasogastric tubes will tell you, it can be tricky to know where it has gone. Clearly administering medications or liquid food before checking would be a very bad idea.