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Case of the Week 513



What is the most likely diagnosis?

  • 16 month-old with wheezing



Frontal and Lateral Chest Radiograph

  1. Double aortic arch
  2. Asthma
  3. Aspirated foreign body
  4. Croup
  5. Left pleural effusion

Additional Images-Right Lateral Decubitus Chest Radiograph

 

Additional Images

 

Right Lateral Decubitus Chest Radiograph


Answer:

 

3. Aspirated foreign body

 

More (Click Discussion Tab)

 

 

Aspirated foreign body

General Considerations

  • Children between 1-3 are most at risk
  • Twice as common in males as females
  • Up until age 15, both right and left main bronchi arise at about the same angle from the trachea so that objects may be aspirated into either side
  • Afterwards, the right main bronchus arises in a less acute, more straight path than the left

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