• This subject is attempting to swallow a piece of cookie coated in barium. Up and down tongue movement is noted, however, she is unable to move the bolus posteriorally with her tonuge and uses her finger to push the material backwards.
• She is unable to move the solid bolus posteriorly and instead begins to suck the barium off the cookie. The cookie remains in her mouth following 2 swallows of barium.

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Special thanks to St.Mary's/Duluth Clinic (SMDC) Radiology and Speech Pathology departments for providing the videofluroscopy studies of the normal adult.