Barium swallow aspiration
Voice hoarseness for 5 months, more noticeable early in the morning and gets better by end of the day. No heartburn.
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Contrast aspiration is seen coating the upper trachea.
Mild asymmetry of the pyriform sinuses is seen.
Normal esophagus, apart from tertiary esophageal contractions.
No hiatal hernia or reflux.
Barium aspiration is one of the essentials to look for during barium swallow examinations, which can lead to secondary pneumonia and subsequently respiratory distress.