case_images: PMC10311010_01
case_images: Chest plane computed tomography at 5 days before admission (A-D) showing left lung consolidation (lung window) and (E-H) consolidation of the left lung with a small amount of pleural effusion (mediastinal window).
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case_images: PMC10311010_01_fped-11-1203103-g001.jpg
case_images: F1
case_images: Chest plane CT showed consolidation of most of the left lung with insufficiency and a small amount of pleural effusion (Figure 1). Consequently, the patient received sodium cefotaxime for 5 days for the treatment of lung infection.
case_images: Chest x-ray on the day of admission showing atelectasis of the left lung (A). Flexible bronchoscopy showing a nut-like foreign body (B). A nut shell - like foreign object after removal (C). Review flexible bronchoscopy for foreign body retention (D).
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case_images: PMC10311010_01_fped-11-1203103-g002.jpg
case_images: F2
case_images: We treated her with intravenous antibiotics and performed an x-ray of her lung, which revealed opacification in the left lung indicative of pneumonia and left atelectasis (Figure 2A). During the bronchial examination, an abnormal reflective object was found in the left main bronchus, which was removed using a foreign body retrieval basket (Boston Scientific Corporation M00513200), revealing a nutshell fragment (Figures 2B,C).
case_images: Chest computed tomography on the seventh day of admission showing left lung consolidation, atelectasis (A-E), and CT scan and airway reconstruction (F) multiple saccular changes in the left lung, indicating necrotizing pneumonia.
case_images: fped-11-1203103-g003.jpg
case_images: PMC10311010_01_fped-11-1203103-g003.jpg
case_images: F3
case_images: Enhanced CT for the lung on the seventh day of hospitalization showed infectious lesions in the left lung with consolidation, atelectasis, and multiple cystic changes in the lower lobe of the left lung, suggesting necrotizing pneumonia (Figure 3).
case_images: Chest computed tomography at 10 weeks of onset showed that bronchiectasis of the left lung was still present and the consolidation of left lung lesions was improved. A-B (lung window), C-D (mediastinal window).
case_images: fped-11-1203103-g004.jpg
case_images: PMC10311010_01_fped-11-1203103-g004.jpg
case_images: F4
case_images: A repeat CT performed after 2 weeks of discharge showed improvement in infectious changes in the left lung with pulmonary consolidation, atelectasis, bronchiectasis of the left lung, and cystic changes (Figure 4).