Foreign body in airway - chronic lung changes

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Chronic cough for several years. History of aspiration of a whistle in childhood.

Patient Data

Age: 25 years
Gender: Male

There is a tubular radio-dense foreign body (a whistle) in the right lower lobe bronchus.

Dilated mucous filled bronchi are seen distal to this structure in the right lower lobe.
Patchy nodular opacities with random distribution in the right middle and lower lobes.
Mild bronchietatic changes are seen in the lower and middle lobes. These features represent superimposed lung infection and bronchiectatic changes.

Left lung is grossly clear.

Case Discussion

Foreign body inhalation is a well known entity in children. Current case presents parenchymal and airway changes as a result of longstanding aspirated foreign body.

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