Foreign body in right bronchus

Case contributed by Dr Chris O'Donnell

Presentation

Blowing plastic whistle and inhaled. Minor cough and whistling noise coming from the chest.

Patient Data

Age: 13 years
Gender: Male
X-ray

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 - CT is often required. Note minimal lung complications i.e. collapse, highlighting the limitation of a chest radiograph in giving a definitive answer. The key lesson is to believe the patient's story and continue to investigate.

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Case information

rID: 16328
Published: 11th Jan 2012
Last edited: 2nd Jun 2020
Inclusion in quiz mode: Included