Become a Pro Member for full access to this course and more.

View Plans   Log In
Expand ("E")   Collapse

Age: 10

Sex: Male

Indication: Swallowed foreign body

Save ("V")

Case #11


Findings

  • No radiopaque foreign body
  • Symmetric pulmonary expansion without evidence of focal air trapping
  • No pleural effusion or pneumothorax
  • Normal size and configuration of the cardiothymic silhouette
  • Rounded impression along the right aspect of the trachea in the superior mediastinum


Diagnosis

  • Right aortic arch vs double aortic arch

Sample Report

No radiopaque foreign body. Symmetric pulmonary expansion without evidence of focal air trapping. If there is ongoing clinical concern for foreign body, consider lateral decubitus radiographs for further evaluation.

No pleural effusion or pneumothorax.

Normal size and configuration of the cardiothymic silhouette.

Rounded impression along the right aspect of the trachea in the superior mediastinum likely represents a right aortic arch or double aortic arch. Consider echocardiography or chest CTA for further evaluation.


Discussion

  • Lateral decubitus radiographs increase the sensitivity for air trapping in cases of suspected aspirated foreign body
  • Right aortic arch is a potentially important incidental finding as it can be associated with congenital heart disease (particularly Tetralogy of Fallot and truncus arteriosus)



📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)