Hosting 727 files, 2946 images, and 4 contributors.

Random Case

Flexor Digitorum Profundus Avulsion Injury
Joseph Junewick, MD FACR
over 9 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

8 year old male with hemoptysis.

Case Detail

Anatomy: Chest
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 9 years ago
Updated: over 9 years ago
Tags: PEDS
Modality/Study Types: CR CT
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Needle retrieved on bronchoscopy.

Reveal Findings

CR – Long thin metallic foreign body in lingula with plate-like atelectasis.

CT – Sagittal reformatted image confirms foreign body.

Reveal Discussion

Aspirated foreign bodies are common, most often encountered in preschool children. Foreign bodies are usually related to food (peanuts and candy) but occasionally broken teeth or glass in the trauma setting, toy pieces, jewelry, and other accidentally inhaled items are seen.

Classic symptoms include coughing, choking, cyanosis, and sudden onset of wheezing. The lower lobes are most commonly involved; the right side is twice as commonly involved compared to the left. The foreign body is radiographically visible in only about 10% of cases.

Acutely, endobronchial foreign bodies can lead to varying degrees of obstruction and ventilation-perfusion mismatch. Long standing foreign body can result in hemoptysis (which can be massive and life threatening), chronic atelectasis, recurrent pneumonia, bronchiectasis and pseudomass.

Reveal Diagnosis

Bronchial Foreign Body

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare