Imaging Case of the Week 203 Answer

The lateral neck x-ray shows fish bone lodged in the pyriform fossa of the hypopharynx as shown below. There is air in the prevertebral space secondary to perforation of the hypopharynx.

fish bone in pyriform fossa with prevertebral air

CT scan of the neck showing the fish bone and the prevertebral air –

sagittal neck CT

This patient underwent urgent removal of the fish bone.