IMAGINGSomething's “Fishy” With That Sore Throat...Sweeney, Michael MSN, FNP-BC, ENP-BC, NE-BC, CEN, CCRN, CFRN, PHRN, CTRN, CNRN; Ramponi, Denise R. DNP, FNP-C, ENP-BC, FAEN, FAANP, CENEditor(s): Ramponi, Denise R. DNP, FNP-C, ENP-BC, FAEN, FAANP, CEN, Column Editor Author Information Chestnut Hill Hospital, Philadelphia, Pennsylvania. Corresponding Author: Michael Sweeney, MSN, FNP-BC, ENP-BC, NE-BC, CEN, CCRN, CFRN, PHRN, CTRN, CNRN, Chestnut Hill Hospital, 8835 Germantown Pike, Philadelphia, PA 19118 ([email protected]). Disclosure: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: July/September 2021 - Volume 43 - Issue 3 - p 198-205 doi: 10.1097/TME.0000000000000362 Buy Metrics Abstract A 9-year old male presented to the emergency department for the evaluation of a sore throat. Initial history of present illness stated in the triage note was that “the child complained of a sore throat,” suggesting possible pharyngitis. There was no evidence of stridor, sialorrhea, hypoxia, or aphonia. Further investigation of the history of present illness identified the concern for a possible esophageal foreign body. Imaging studies of the neck identified a fishbone in the esophagus. This case presentation discusses an atypical presentation of an esophageal foreign body and the subtle findings on assessment and imaging. This case highlights the importance of illiciting a history of present illness and the subtleties of esophageal foreign body identification. © 2021 Wolters Kluwer Health, Inc. All rights reserved.