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Age: 18 months

Sex: Male

Indication: Possible aspiration, cough

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Case #45


Findings

  • Asymmetric hyperinflation of the right lung
  • No focal airspace opacification, pleural effusion, or pneumothorax
  • Normal size and configuration of the cardiothymic silhouette


Diagnosis

  • Aspirated radiolucent foreign body

Sample Report

Asymmetric hyperinflation of the right lung, concerning for focal air trapping related to a radiolucent foreign body. Recommend lateral decubitus views or bronchoscopy for further evaluation.


Discussion

  • This is a more subtle case of aspirated foreign body that was confirmed on bronchoscopy (cashews)
  • Remember that most aspirated foreign bodies are radiolucent



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