Context.--Death from corpora aliena in the larynx is a well-known entity in forensic pathology. The correct diagnosis of this cause of death is difficult without an autopsy, and misdiagnoses by external examination alone are common. Objective.--To determine the postmortem usefulness of modern imaging techniques in the diagnosis of foreign bodies in the larynx, multislice computed tomography, magnetic resonance imaging, and postmortem full-body computed tomography-angiography were performed. Design.--Three decedents with a suspected foreign body in the larynx underwent the 3 different imaging techniques before medicolegal autopsy. Fatalities from foreign bodies in the larynx are reported frequently in middle-aged and elderly people. (1-4) This age group is rapidly growing in Western society, and the importance of accidental deaths from choking on food might increase. In the United States, choking is the fourth leading cause of death from unintentional injury. (5) Typically, in these types of fatalities, the victim collapses immediately while eating. The diagnosis of bolus death is difficult because the sudden nature and led to the vivid description Cafe-Coronary Syndrome6 because the sudden cause of death is mostly misinterpreted as acute cardiac--or coronary--failure. The cause of death is mainly a food bolus in the larynx. These bolus fatalities are still rare in daily forensic practice. (1-4,7,8) Risk factors for this cause of death include neurologic and psychiatric diseases, old age, poor dentition, local malformation, local tumors, and intoxication from alcohol and drugs. (1,2,4,9-13) In the early years of medicolegal investigation, it was assumed that death occurred due to asphyxia, but today, it is known that many cases are reflexogenic. (1,4,14) In addition, deaths in scurrile situations are reported in case reports. (15-18) Results.--Multislice computed tomography has a high diagnostic value in the noninvasive localization of a foreign body and abnormalities in the larynx. The differentiation between neoplasm or soft foreign bodies (eg, food) is possible, but difficult, by unenhanced multislice computed tomography. By magnetic resonance imaging, the discrimination of the soft tissue structures and soft foreign bodies is much easier. In addition to the postmortem multislice computed tomography, the combination with postmortem angiography will increase the diagnostic value. Conclusions.--Postmortem, cross-sectional imaging methods are highly valuable procedures for the noninvasive detection of corpora aliena in the larynx. (Arch Pathol Lab Med. 2009;133:806-810), Modern imaging techniques like multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) allow the medical specialist in clinical radiology to localize foreign bodies--even if these are not radiopaque--and to [...]