Toddler who is choking on something

CXR of button battery ingestion in a patient with a Morgagni hernia
CXR AP (above left) shows a round radiopaque object with a halo of lucency around it in the neck and there is a dense opacity in the medial aspect of the right lower lobe. CXR lateral (above right) shows the round object to be in the esophagus posterior to the airway and there is a loop of bowel coursing up from the abdomen to the chest anterior to the heart. Axial (below left) and sagittal (below right) CT without contrast of the chest shows the loop of bowel anterior and medial in location in the right chest to have haustra and therefore to be colon.

The diagnosis was a gastrointestinal foreign body in the form of a button battery in the esophagus in a patient who also had a Morgagni hernia.