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Maybe you should take a look again. There was clear stasis on the pyriform sinuses, which would almost always lead to penetration / aspiration if food continuously builds up. Also, he had signs of spillage, and multiple tongue pumps. Check it again.
Checked it again. The pyriform stasis with puree is due to backflow from the esophagus, and it's not "continuously building up" (nor is it with liquid), so I wouldn't expect any aspiration from it. I don't really see "tongue pumps" to start the swallow, just multiple tongue movements to transfer the bolus -- this inefficient bolus transfer, of which the "spillage" is a part -- is most likely due to the very small bolus size. We need to see a normal sized bolus to really judge swallow function.
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