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77 year old man, with history of dementia and repeated respiratory infections for the past 8 months. He was hospitalized due to pneumonia without improvement after antibiotherapy. The chest radiography showed bilateral parenchymal infiltration in the lower half of the left hemithorax and lower third of the right hemithorax. Flexible bronchoscopy was performed, displaying a foreign body housed in the left main bronchus (LMB), promptly removed with toothed forceps, without complications. Once exteriorized, it was found that it was a bone, probably from a bird, more specifically a vertebrae. After foreign body removal, there was clinical improvement with pneumonia’s resolution.
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