Infant with esophageal atresia without tracheo-esophageal fistula undergoing pre-operative imaging

AP image from an upper GI performed with a bougie dilator placed into the proximal esophageal pouch through the oropharynx and a bougie dilator placed through a gastrostomy tube site into the distal esophagus with both dilators held under tension shows a 2 cm gap between the proximal and distal esophageal segments.

The diagnosis was esophageal atresia with a long gap between the proximal and distal segments.