Malpositioned NG tube

Malpositioned NG tube. This example illustrates the reason we routinely perform a CXR before using a nasogastric feeding tube. The NG in this case has been advanced through the trachea, down the right main bronchus, through the right lower lobe and into the pleural space, deep into the costophrenic angle. The tube was quickly withdrawn after the CXR, however the patient developed a large pneumothorax which required a chest drain.