What is your diagnosis? Inspiratory and Expiratory Views Chest Radiograph

Comment

Comment by Daniel Hudson on June 20, 2008 at 8:41am

Definitely an interesting case - doesn't anatomy generally favor aspiration of objects within the right main bronchus instead of left?

Comment by JYOTI PRASAD SHARMA on June 20, 2008 at 4:09am

fb left bronchus

Comment by radRounds Radiology Network on June 5, 2008 at 1:47pm

Bhargav, Good thought--lateral radiograph was in fact negative

Comment by Mohammad on June 5, 2008 at 1:43pm

Nice case.

Comment by Bhargav Raman on June 3, 2008 at 1:46pm

Would the obstruction be better seen on the Lat?

Comment by radRounds Radiology Network on June 3, 2008 at 1:17pm

Unfortunately no CT. Thanks for all your answers! The answer is... drum roll.... foreign body aspirated within the left main bronchus resulting in airway obstruction demonstrated by persistent hyperinflation on expiratory chest radiographs. Good call Dr. Ref! The foreign body was a small lego-block which was very difficult to remove per the operative note.

Comment by Masoud Pezeshki Rad on June 2, 2008 at 11:09am

after R/O of obstruction maybe Swyer-James-Macleod syndrome. Do u have CT?

Comment by Mohammad on June 1, 2008 at 2:14pm

I'd say it's a normal CXR.

Comment by Dr. Mohamed Refaey on May 28, 2008 at 5:59pm

air entrapment at the left lung with shifting of the mediastinum to the right in the expiratory film..I guess there's something obstructing the left main bronchus as there's some sort of proximal dilatation at the left hilum..