- a triangular-shaped, bone density foreign object in the region of the mid-thoracic esophagus
- generalized cardiomegaly; the cardiac silhouette is taller than normal and the left atrium is enlarged
- “bumps” on the VD view indicating enlargements of the main pulmonary artery, aortic arch, and left auricular appendage
- overall increased pulmonary vasculature (“hypervascular” pattern/over-circulation)
- Esophageal foreign body, explaining the recent lethargy, weakness, inappetance
- Patent ductus arteriosus with left to right shunting
- Echocardiography
- Endoscopy to evaluate esophagus and remove FB; points were not deducted for esophagram to confirm esophageal FB, but candidate was expected to discuss benefits/disadvantages of iodinated vs. barium contrast agents if esophagram was recommended