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A 40-year-old man with a history of childhood asthma and recurrent pneumonia was admitted to hospital with fever, shortness of breath and mild productive cough. A chest X-ray showed cavitating right middle lobe opacity ( figure 1 ). Subsequent CT scan with three-dimensional reformats confirmed an irregular thick-walled air containing lesion in the right middle lobe in keeping with a pulmonary abscess. In addition, a high density foreign body that measured 2.6 cm in length was seen within the right middle lobe bronchus ( figure 2 ). The proximal end of the linear foreign body was covered by irregular soft tissue densities ( figure 3 ).
A rigid bronchoscopy was undertaken, which revealed a dress pin in the right middle bronchus. Polypoid appearing soft tissues were seen in the distal bronchus intermedius, covering the proximal end of the dressing...