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Axial (A) and sagittal (B) computed tomography showing a dislodged screw in the prevertebral soft tissues.
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Computerized tomography of the neck confirmed the findings of a screw in the prevertebral soft tissues between the airway and the upper cervical esophagus (Fig. 1).
Barium swallow lateral view (A) of the dislodged screw showing no communication with the esophageal lumen. Gross appearance of the expectorated screw (B).
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No perforation of the esophagus was noted on esophagogram (Fig. 2A). While being evaluated by the thoracic surgery team, the patient had a coughing fit during which she expectorated the screw (Fig. 2B).