Fig. (1) Chest X-ray of an 83 year old man showing radiological changes in the right lower lobe believed to be a consequence of having aspired gastric contents. The clinical and radiological manifestations of aspiration may vary from simple asymptomatic inflammation with minimal radiological findings all the way to severe life-threatening disease manifesting as ARDS. Image source: https://commons. wikimedia.org/wiki/File:Aspiration_pneumonia201711-3264.jpg used under the Creative Commons Attribution-Share Alike 4.0 International license.