Aspiration on VFS

A frontal view of the pharynx and larynx (A) during VFS shows normal appearance of barium coating valleculae (v), pyriform sinuses (p), and arch of the superior border of the epiglottis (arrow). Image A also shows the region of the vocal cords (arrowhead) and the trachea (t). Image B demonstrates aspiration with barium coating the vestibule (large arrowheads), in the laryngeal ventricle (small arrowhead), and in the trachea (dashed arrow). There is normal contrast coating of the valleculae and pyriform sinuses (p).