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Tracheobronchial Foreign Body Inhalation

Imaging findings

Chest CT and 3D airway reconstructions demonstrate a large, metallic nail lodged completely within the right mainstem bronchus, straddling the carina and extending into the mainstem bronchi.

Key takeaways

Inhalation of large, sharp metallic foreign bodies (like nails or razor blades) can occur in pediatric or psychiatric patients. They can become completely wedged within the central airways, making endoscopic retrieval challenging and occasionally requiring surgical intervention to prevent airway perforation or distal post-obstructive pneumonia.

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