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(a) HRCT (coronal) six months before the operation showing the traffic cone occluding the right bronchus intermedius. (b) HRCT (axial) six months before the operation showing the traffic cone occluding the right bronchus intermedius.
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A further HRCT scan demonstrated an area of high attenuation in the right lower lobe bronchus intermedius (Figure 1a and b).
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Chest X-ray taken preoperatively showing an obliterated right costodiaphragmatic angle.
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Preoperative investigations included a chest X-ray which demonstrated obliteration of the right costodiaphragmatic angle and normal pulmonary function tests (Figure 2).
(a) Bronchoscopic image of the right lower lobe and middle lobe bronchus showing profuse exudation of pus. (b) Image taken at thoracotomy of the middle lobe bronchus showing the yellow traffic cone and friable tissue.
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During dissection of the bronchus, profuse quantities of pus were aspirated (Figure 3a). The toy traffic cone was identified in the same location as that determined on CT (Figure 3b).
Image of the extracted toy traffic cone post operatively next to a specimen pot.
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The toy traffic cone was returned to the patient (Figure 4).