Fan's of Rob's Radiology
The original image shows an esophogram that has contrast in the airway. Going back and looking at the oral transfer - the patient is aspirating.
Therefore - the primary team needs to be notified about the severity and fact that the patient is aspirating spontaneously. Other information that is helpful is whether the patient responds and knows that he/she is aspirating. This patient cannot be trusted to eat or drink. This patient is at high risk for pneumonia and other problems.
You do not want to use water soluble contrast agents (like gastrograffin) as this can cause a life-threatening mediastinitis when aspirated. Therefore, barium is the contrast of choice.
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