A double-blind, controlled study to assess the accuracy of interpretat
ion of lateral soft tissue radiographs of 60 patients with suspected f
oreign body impaction in the oro/hypopharynx was carried out by 18 res
pondents from three different specialities. All the patients had endos
copy carried out and foreign bodies were present in 25. Of these, fore
ign bodies were diagnosed on the radiograph in only 38.3 per cent. Fal
se-positive diagnoses were made in a mean of 26.3 per cent of those pa
tients who did not have a foreign body.