A child presented with coughing for one day which started while he was eating almonds. AP supine inspiration radiograph shows increased left lung volume with increased translucency. There is no radiodense foreign body. Radiographic findings favored radiolucent airway foreign body and child was referred to a pediatric surgeon. Bronchoscopy revealed a fragment of almond in left bronchus.
Photo courtesy operating pediatric surgeon Dr. Arun Trivedi.