Patient claims to have swallowed a foreign body, with a history of doing so previously.
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Numerous small linear dense foreign bodies are projected in the mid to lower thoracic esophagus, oriented in an organized fashion. The lungs are clear. No pleural effusion or pneumothorax. No free subdiaphragmatic gas.
The patient admitted to swallowing a toothbrush, and not for the first time. It passed without complication.
Interestingly, the tips of the bristles are radiodense, but not the plastic handle.
A toothbrush is commonly used by bulimics for evoking the gag reflex. The patient presents to the clinic or hospital after having swallowed the toothbrush unintentionally.