Emergency Department, complaining of exertional dyspnea. A review of his medical history revealed that 3 years earlier he had tried to swallow a knife. It was removed from the esophagus by endoscopy. Two years before admission he told his relatives that he had swallowed another knife, but they did not believe him. Posteroanterior (Fig. 1) and lateral (Fig. 2) views of the chest were obtained, d...