This tube deviates at the level of the carina

The trachea lies slightly to the right of the spine

as the film is rotated

1. The carina can be seen and the tube

deviates to the right at this level -it does not bisect

the carina

2. From review of this X-ray it appears that this

tube is likely to be in the right lung base

In fact this patient has a right sided

pneumothorax caused by forcing the NG tube

against resistance through the lung parenchyma

and into the pleural space