case_images: PMC3299121_01
case_images: Chest X-ray on presentation to emergency department
case_images: SJA-6-65-g001.jpg
case_images: PMC3299121_01_SJA-6-65-g001.jpg
case_images: F1
case_images: CRP 206 mg/L, Alanine transaminase (ALT) 26 U/L, Aspartate transaminase (AST) 18 U/L, urea 3.5 mmol/L, creatinine 42 mumol/L. Chest X-ray (CXR) showed complete left-sided consolidation with no mediastinal shift [Figures 1 and 2].
case_images: CT reconstruction picture showing foreign body obstructing the left main bronchus
case_images: SJA-6-65-g002.jpg
case_images: PMC3299121_01_SJA-6-65-g002.jpg
case_images: F2
case_images: CRP 206 mg/L, Alanine transaminase (ALT) 26 U/L, Aspartate transaminase (AST) 18 U/L, urea 3.5 mmol/L, creatinine 42 mumol/L. Chest X-ray (CXR) showed complete left-sided consolidation with no mediastinal shift [Figures 1 and 2].
case_images: An enlarged image of the previous CT scan
case_images: SJA-6-65-g003.jpg
case_images: PMC3299121_01_SJA-6-65-g003.jpg
case_images: F3
case_images: Prior to intubation, chest computed tomography (CT) was performed, which confirmed consolidation of both the lobes on the left side; interestingly, no foreign body was described on the initial CT report, but detected on review after bronchoscopy [Figures 3 and 4].
case_images: A reconstructed CT image of the same foreign body in the bronchus
case_images: SJA-6-65-g004.jpg
case_images: PMC3299121_01_SJA-6-65-g004.jpg
case_images: F4
case_images: Prior to intubation, chest computed tomography (CT) was performed, which confirmed consolidation of both the lobes on the left side; interestingly, no foreign body was described on the initial CT report, but detected on review after bronchoscopy [Figures 3 and 4].
case_images: Extracted foreign body
case_images: SJA-6-65-g005.jpg
case_images: PMC3299121_01_SJA-6-65-g005.jpg
case_images: F5
case_images: On closer examination of the foreign body was a 25G hypodermic needle [Figure 5].
case_images: Predischarge chest X-ray of the patient
case_images: SJA-6-65-g006.jpg
case_images: PMC3299121_01_SJA-6-65-g006.jpg
case_images: F6
case_images: Antibiotics were de-escalated, and the patient was discharged on day 6 with oral antibiotics [Figure 6].