An 85-year-old man was presented to the hospital with complaints of progressive dysphagia and regurgitation. He complained of coughing and spluttering while eating and drinking. He had a medication history of thyroxine-replacement therapy. On examination, he was found to be undernourished.

He also showed signs of myxedema. Blood tests confirmed Hypothyroidism. The above images revealed- Image A: Barium swallow test Image B : Trapped thyroxine tablet Source: New England Journal Of Medicine