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Aspirated Pill (Pill Bronchitis)

Imaging findings

CT reveals a discrete, hyperattenuating, disc-shaped object in a left lower lobe bronchus, associated with a pseudoaneurysm from a bronchial artery.

Key takeaways

Aspirated pills (like iron or potassium supplements) can cause intense, localized inflammation, ulceration, and bleeding in the airway. This should be considered in patients presenting with hemoptysis and a high-density endobronchial lesion.

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