PMC8569588_01
Chest x-ray (CXR) before bronchoscopy showed right lung hyperinflation, total opacification of the left hemithorax with tracheal shift to the left suggestive of left lung collapse.
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The respiratory examination revealed tracheal shift to the left side, dullness on percussion and reduced air entry on the left lung zone all indicating left lung collapse (Fig. 1).
CT scan chest before bronchoscopy. (A) Coronal section shows a soft tissue density lesion obstructing the left main bronchus (arrow). (B) Resultant left lung collapse on the axial view (arrow).
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A plan was made for a computerized tomography (CT) scan of the chest, upper airway endoscopy and bronchoscopy with a possible open surgical approach if needed (Fig. 2).
Chest x-ray 48 hours post-procedure shows normal bilateral aeration of the lung fields.
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(A) Gross histopathology of the specimens obtained on bronchoscopy. A tan coloured bronchial cast. (B)Tenacious mucolipoid material removed by forceps within the main bronchus.
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No foreign body material could be discerned (Fig. 4).