CTICasesAspirated Coin in Bronchus Intermedius
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Imaging findings
A pre-operative chest radiograph for ENT surgery unexpectedly revealed a metallic coin (a dime) aspirated into the bronchus intermedius, causing mild thickening of its posterior wall. The patient was unaware of the aspiration.
Key takeaways
Foreign body aspiration can occur in adults, even asymptomatically, particularly in those with altered mental status or underlying conditions. Pre-operative chest radiographs can be critical for detecting such incidental but significant findings, which require intervention before anesthesia to prevent complications.
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