PMC4681963_01
Foreign body (FB) in the ostium at the right upper lobe bronchus with adjacent small granuloma. A-B) Thorax CT-scan highlights pneumonia in the right lung suggesting lymphadenopathy in the right side of the trachea (black and white arrows). C-D) Fiberoptic flexible bronchoscopy shows copious amounts of pus in the same zone. Mucus secretions were aspirated and the bronchial washings were collected for investigations. E) Medlar's core of about 15 mm.
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He underwent a CT-scan of the thorax that confirmed persistence of opacity in the right lung and suggested lymphadenopathy in the right side of the trachea (Fig. 1A,B). The patient underwent fiberoptic flexible bronchoscopy and a vegetal FB (medlar's core) was detected in the right upper lobe; a significant granulomatous formation around the FB and copious amounts of pus in the same zone were observed (Fig. 1C,D). FB was removed by rigid bronchoscopy under general anesthesia (Fig. 1E).