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Aerodigestive foreign bodies should always be considered when a child presents with unexplained dyspnea, coughing, or swallowing difficulties. Get full access to all EB Medicine articles published 3 years (or more) ago, including evidence-based, peer-reviewed diagnosis and treatment recommendations. To become familiar with the images of various mediastinal and lung pathologies in children.
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Other etiologies to consider include pneumonia, bronchiolitis, and medical causes of stridor and respiratory distress such as croup, asthma, or allergic reactions.The differential diagnosis for aerodigestive foreign bodies is listed in Table 1, the differential diagnosis for vaginal foreign bodies is listed in Table 2, and the differential diagnosis for a rectal foreign body is shown in Table 3. The pleural line (red arrows), in this case of pneumothorax, is thinner and consists only of the parietal pleura.No lung sliding was seen on real time US.
Yellow arrowheads point to the A lines- reverberation artifacts of the pleural line indicating the presence of subpleural air (in this case pathologic air of pneumothorax).
Black arrows indicate the lung sliding: the distinct horizontal movement of lung and visceral pleura against the parietal pleura during respiration.

Compare them with the A lines of fig 2b where they were normal artifacts from physiologic air of the lung periphery.

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