School ager with recent recurrent pneumonias who underwent esophageal atresia repair 5 years ago

Upper GI of esophageal atresia with recurrent fistula
Lateral image from an upper GI exam shows a contrast filled esophagus (posteriorly) connecting to the trachea (anteriorly) through a superiorly oriented fistula (in the middle).

The diagnosis was recurrent fistula after repair of esophageal atresia.