CT - Day 2
Extensive consolidative changes with air bronchograms are noted in the right middle and lower lobes. Extensive tree in bud appearance suggestive of endobronchial spread of active infective process is also noted in the right lung. A foreign body measuring 7 x 10 mm having an average density of 377 HU is noted in the right main bronchus just distal to the carina. Small right pleural effusion. No pneumothorax or pneumomediastinum is noted. An enhancing pretracheal lymph node measuring 17 mm in short axis is noted. Left lung is unremarkable. Mild cardiomegaly. Large hiatus hernia.