Case 7 : Question : A 3 month old boy having hepatosplenomegaly. What is the diagnosis?
Case 6 : Question : A 5 year old girl with fever, cough, and dyspnea. What is the diagnosis?
Case 5 : Question : A 1 year old boy with choking, cough and wheezing. What is the diagnosis?
Case 4 : Question : Chest radiograph of a 3 month boy. What is the diagnosis?
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Question : A 1 year old boy with choking, cough and wheezing. What is the diagnosis?
Panruethai Trinavarat,M.D. Assistant Professor.
Department of radiology, Faculty of medicine,
Chulalongkorn University
Case 5 :
Question :
A 1 year old boy with choking, cough and wheezing. What is the diagnosis?
Answer :
Foreign body aspiration in left main bronchus
Foreign bodies may cause no airway obstruction, or complete obstruction, or partial obstruction with “one-way valve” mechanism. The latter pattern is our quiz case, unilateral large hyperlucent lung from air trapping is noted on chest radiograph, and this finding is better shown in expiratory chest film. Two lateral decubitus views can be used instead of inspiratory-expiratory films in uncooperative young children.
Bronchoscope in this child revealed a half of peanut in his left main bronchus. CT is useful when foreign body is highly suspected, but initial chest X-ray or bronchoscope is negative. CT may reveal the presence and the location of foreign body, as well as reaction of the lung.
