PMC3299121_01
Chest X-ray on presentation to emergency department
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F1
CRP 206 mg/L, Alanine transaminase (ALT) 26 U/L, Aspartate transaminase (AST) 18 U/L, urea 3.5 mmol/L, creatinine 42 mumol/L. Chest X-ray (CXR) showed complete left-sided consolidation with no mediastinal shift [Figures 1 and 2].
CT reconstruction picture showing foreign body obstructing the left main bronchus
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F2
CRP 206 mg/L, Alanine transaminase (ALT) 26 U/L, Aspartate transaminase (AST) 18 U/L, urea 3.5 mmol/L, creatinine 42 mumol/L. Chest X-ray (CXR) showed complete left-sided consolidation with no mediastinal shift [Figures 1 and 2].
An enlarged image of the previous CT scan
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F3
Prior to intubation, chest computed tomography (CT) was performed, which confirmed consolidation of both the lobes on the left side; interestingly, no foreign body was described on the initial CT report, but detected on review after bronchoscopy [Figures 3 and 4].
A reconstructed CT image of the same foreign body in the bronchus
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F4
Prior to intubation, chest computed tomography (CT) was performed, which confirmed consolidation of both the lobes on the left side; interestingly, no foreign body was described on the initial CT report, but detected on review after bronchoscopy [Figures 3 and 4].
Extracted foreign body
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F5
On closer examination of the foreign body was a 25G hypodermic needle [Figure 5].
Predischarge chest X-ray of the patient
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F6
Antibiotics were de-escalated, and the patient was discharged on day 6 with oral antibiotics [Figure 6].