Esophageal foreign body
Presented to the ED with chest pain on swallowing after swallowing a 20-cent piece. The evening before he had been playing a drinking game called "quarters" which involved bouncing a coin into the opponent's cup.
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Metal density foreign body (coin) projected over esophagus at level of T5. The coin is lodged at an oblique angle.
This mid-esophageal foreign body required admission for gastroscopy.