R. NICKBRYANMDPATRICIA A.HUDGINSMD
ON MARCH 2001, a 2-year-old white boy was admitted to the emergency department because of a suspected foreign body (FB) in his airway. He immediately underwent conventional radiography of his neck and chest, which revealed that the FB was a small spring. His parents said that he had been playing at home and trying to reach something under the sofa. Later, he began to draw attention to himself by repeatedly touching his mouth and neck, although there were no other signs and/or symptoms, such as a choking crisis, cough, respiratory distress, or wheezing. On looking under the sofa, his father found many small springs and decided to take him to the hospital. His parents did not bring any of the springs with them. On examination, the boy was completely asymptomatic, and his physical findings were normal. No oral lesions or decreased breath sounds with auscultation were noticed. The neck and chest radiographs showed an x-opaque spring-shaped element in the left hemithorax (Figure 1 and Figure 2).
Berlucchi M, Giudice M, Bondioni MP. Radiology Quiz Case. Arch Otolaryngol Head Neck Surg. 2003;129(12):1347. doi:10.1001/archotol.129.12.1347