Clinical Images  |   February 2018
Aspiration of Dental Crown
Author Notes
  • From Lakeland HealthCare in St Joseph, Michigan. Dr Lopez is a third-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Frank A. Lopez, DO, Lakeland HealthCare, 1234 Napier Ave, St Joseph, MI 49085-2112. E-mail: flopez1@lakelandhealth.org
     
Article Information
Imaging / Pulmonary Disorders / Clinical Images
Clinical Images   |   February 2018
Aspiration of Dental Crown
The Journal of the American Osteopathic Association, February 2018, Vol. 118, 124. doi:10.7556/jaoa.2018.029
The Journal of the American Osteopathic Association, February 2018, Vol. 118, 124. doi:10.7556/jaoa.2018.029
An 86-year-old woman presented to the pulmonology department following a 4-month history of a progressive nonproductive cough, wheezing, and exertional dyspnea. A plain-film chest radiograph demonstrated a foreign body in the lower lobe of her right lung (image A). Symptoms began 1 week after a tooth extraction, during which a gold crown on an adjacent tooth was dislodged and presumably ingested. Chest computed tomography confirmed a foreign body in the basal segment of the right lower lobe. Subsequent flexible bronchoscopy revealed a metallic-appearing object in the right bronchus intermedius (image B), which was successfully extracted via bronchoscopy using a basket instrument for renal stones. 

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