Foreign body aspiration is a well documented clinical scenario. However establishing the diagnosis can be challenging. A case of an asymptomatic aspiration of a significant foreign body is presented here. Case Report A 33 yr old white male who was previously fit and well presented to the Accident & emergency department with the symptoms of foreign body sensation in the throat following a meal. He denied any problems with breathing or any difficulty with swallowing. He also denied any violent attacks of coughing or haemoptysis. Clinical examination was unremarkable. He was afebrile and breath sounds were equally heard bilaterally. Surprisingly soft tissue neck X-ray revealed a foreign body in the trachea. He underwent rigid endoscopy and a chicken bone was removed. Patient was discharged the following day.
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