to pelvic outlet) and lateral radiographs are recommended if a coin ingestion is sus­pected because the presence of multiple coins may not be appreciated on a single anteroposterior view. Sharp FBs are particularly treacherous because they may per­forate the esophagus, resulting in mediastinitis or major vessel injury and life­threatening hemorrhage. This radiograph shows a metallic foreign body lodged in the midesophagus of a 4-year-old boy who had stopped eating solid foods 2 months previously, precisely at the time his older brother’s toy tractor steering wheel disap­peared. Removal at esophagoscopy was complicated because the foreign body was deeply embedded in the esophageal wall. [Papsin BC, James A, Friedberg J, Forte V, Crysdale WS.Otolaryngology—head and neck surgery. In: Laxer RM, editor. The Hospital for Sick Children: atlas of pediatrics. Philadelphia: Current Medicine;