Spluttering on feeds; admitted with respiratory distress and SVT following feed.
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Supine water-soluble contrast swallow via a sterile bottle.
NG tube had been passed on the ward with ease. NG tube is appropriately sited.
There was immediate opacification of the esophagus. On distension, a communication to the trachea is seen at the level of C7/ T1 . There is immediate opacification of the trachea and bronchi with contrast extending into the right upper lobe.