CTICasesMalpositioned Tracheostomy Tube
Imaging findings
Serial portable frontal chest radiographs show a tracheostomy tube that is abnormally positioned and off-center relative to the tracheal air column, suggesting displacement or creation of a paratracheal tract.
Key takeaways
Tracheostomy tube dislodgement or paratracheal tract placement is an uncommon but serious complication. On routine radiographs, careful assessment of the centering of the tracheostomy tube within the tracheal air column is essential, as patients may not immediately demonstrate severe respiratory distress despite the malposition.
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