Chest wall, intra thoracic lesions, and airway
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See in second post
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see high quality video in next post
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[size=20px]A four-month old former term baby boy has had two episodes of presumed aspiration pneumonitis. He frequently coughs and sputters during feeding. There is no history of vomiting. Physical exam is normal. A video fluoroscopic swallow study shows a normal swallowing mechanism and coordination. A pull back esophagram and upper gastrointestinal series shows no anatomic abnormality of the esophagus, stomach or duodenum with a single episode of reflux to the mid esophagus. An esophageal pH probe is within normal limits. In this infant with recurrent aspiration, the investigation most likely to yield a definitive diagnosis is A high resolution computerized tomogr…
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