Nasogastric tube in left lower lobe with pneumothorax

Discussion:

This case emphasizes three things:

  • seeing the NGT tip below the hemidiaphragm on a frontal image does not imply it is within the abdomen
  • a normally placed NGT should always pass through the diaphragm close to the midline
  • pushing an NGT into the lung is traumatic and can cause pneumothorax  
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