Abstract
A 78-year-old woman underwent endobronchial Watanabe spigot (EWS) placement for post-cryobiopsy bleeding and subsequently required a tracheostomy. Two months later, a migrated EWS was incidentally found impacted within her uncuffed tracheostomy tube. This case highlights the importance of follow-up imaging and careful inspection of tracheostomy tubes for possible spigot impaction.