Screw in bronchus
Previously healthy child presented with cough after aspiration of screw.
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Large radiodense screw is seen in the right main bronchus also extending to the bronchus intermedius.
No other gross abnormality: no evidence of pneumothorax, no evidence of air trapping, no pleural effusion, no air space consolidation.
Choking, coughing, neck pain, or struggling to breathe are common presentations of an aspirated foreign body. The right main bronchus is the most common site of obstruction due to its larger lumen and more vertical orientation.