Airway foreign body
History of 'eating' almonds followed by 4 days of cough.
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There is a hyperinflated left lung with a mediastinal push to the right side. There is no airspace opacification or pleural effusion.
Given the clinical background, the chest radiograph suggested a foreign body in the left bronchus. Bronchoscopy revealed an almond fragment in the left main bronchus.
The left lung is hyperlucent due to air-trapping caused by the left bronchus foreign body.