Foreign body in right bronchus

Case contributed by Dr Chris O'Donnell

Presentation

Blowing plastic whistle and inhaled

Patient Data

Age: 13
Gender: Male
X-ray

Minor cough and whistling noise coming from the chest

No foreign body, no lung collapse. The right lung may be a little more lucent suggesting minimal air trapping. 

CT

The foreign body is seen in the bronchus intermedius. 

Photo

The retrieved foreign body. 

Case Discussion

Plain films are not always reliable with foreign bodies - often needs CT.  Note minimal effects in the lung ie collapse, etc on CXR so not necessarily reliable.  Believe the patient's story and continue to investigate.

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Case information

rID: 16328
Case created: 11th Jan 2012
Last edited: 4th Jan 2016
System: Chest
Inclusion in quiz mode: Included

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