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Initial Anteroposterior Radiograph Containing an Amalgam Fragment

Anteroposterior radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located lateral to the midline at the level of C6.

Initial Lateral Radiograph Containing an Amalgam Fragment

Lateral radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located within the esophagus at the level of C6.

Anteroposterior Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the anteroposterior radiograph have been outlined in red. This provides an explanation for the lateral positioning of the amalgam fragment seen in Figure 1.

Lateral Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the lateral radiograph have been outlined in red. This outline has been provided to explain the lateral positioning of the amalgam fragment seen in Figure 1.

Anteroposterior Radiograph After Passing the Amalgam Fragment

Anteroposterior radiograph obtained approximately 4 hours after the initial anteroposterior radiograph showing the amalgam fragment no longer present and presumed to have passed into the stomach.

Lateral Radiograph After Passing the Amalgam Fragment

Lateral radiograph obtained approximately 4 hours after the initial lateral radiograph. The amalgam fragment is no longer present and presumed to have passed into the stomach. Extracorporeal radiopacities represent hospital gown buttons (green arrowheads).