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Airway obstruction from aspirated tooth

Imaging findings

CT scan shows an extensive necrotizing process with consolidation, cavitation, and fluid levels in the superior segment of the right lower lobe. A dense calcified structure matching a canine tooth is visible obstructing the corresponding segmental bronchus.

Key takeaways

Foreign body aspiration (such as a tooth) can cause chronic or acute bronchial obstruction, leading to post-obstructive necrotizing pneumonia. A history of trauma or dental work is a key clinical clue.

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