Mother reports coughing and choking during feeding.
A babygram demonstrates a feeding tube at the level of the thoracic inlet. In addition, there is complete lack of gas in the abdomen. Esophogram and a G-tube study injection of esophageal pouch from above reveals proximal tracheal esophageal fistula at level of thoracic inlet with aspiration of a small amount of barium. Proximal tracheal esophageal fistula. The entity is secondary to incomplete division of the primitive foregut.