Clinical signs of nasogastric tube malpositioning in intensive care patients may be absent or misleading, chest radiography can accurately detect nasogastric tube malpositions in the tracheobronchial tree, may prevent complications, and avoid the use of further costly or invasive diagnostic techniques. This is a post operative patient in whom ryles tube was placed in OT setting and passage was considered difficult. CXR shows RT with distal end on left bronchus.
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