This film is interesting. Sometimes NG
tubes can have this appearance when
they are in a hiatus hernia - particularly if it
is incarcerated. This is uncommon
The tube is in a hiatus hernia. The
deviation is quite low, near the diaphragm.
However, any deviation in the chest -
particularly if extreme like this - should
raise the question:
Could this tube be in the lung?
Be very wary of attributing any deviation in
the thorax to a hiatus hernia and get a
senior opinion.
"If in doubt, take it out" is the bottom
line
Would you feed this patient?