PMC6011119_01
Computed tomogram (CT) of the chest (mediastinal window) in horizontal view (a) and coronal view (b) showing a narrow left lower lobe (LLL) bronchus (red arrow) and distal postobstructive consolidation (yellow arrow). CT of the chest (lung widow) in horizontal view ((c) and (d)) also depicting the narrowed LLL bronchus (red arrow) with the distal consolidation (yellow arrow).
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fig1
A computed tomogram (CT) of the chest showed a LLL consolidation, with evidence of narrowing of the LLL bronchus (Figure 1). There was an abrupt cutoff in the LLL bronchus, but no endobronchial lesion was detected (Figure 1).
Bronchoscopic images ((a) and (b)) depicting an obstructed LLL bronchus with a fleshy, pearly endobronchial mass (black arrow). Bronchoscopic images of the almond (foreign body) in the left main stem and LLL bronchi [(c)-(f); yellow arrows].
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fig2
The patient underwent another bronchoscopy, which revealed a narrow LLL bronchus, with a fleshy endobronchial mass lesion (Figure 2). Multiple endobronchial biopsies were then obtained, and 2 pearly white structures with a brown detached cover were revealed (Figure 2).
Hematoxylin and eosin stained images of the foreign body show vegetable matter with thick cell walls associated with plants (blue arrow) and acute inflammation with tissue debris (black arrow) under 40x (a) and 100x (b) magnifications.
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fig3
Pathology of the extracted foreign body was consistent with vegetable matter (Figure 3), and bronchoalveolar lavage cultures were negative for bacterial or fungal organisms.
CT scan of the chest (lung window) in horizontal (a) and coronal (b) sections showing a normal lung parenchyma with complete resolution of the left lower lobe infiltrate noted in Figure 1.
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fig4
While foreign body aspiration for 6 months could lead to irreversible parenchymal changes, a follow-up CT scan at 3 months revealed complete resolution of parenchymal infiltrates in this case (Figure 4).