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This was performed through a laryngeal mask airway and showed the conical foreign body lodged longitudinally in the right middle lobe bronchus, with the narrower end distally.
Virtual bronchoscopy was performed, which identified multiple tracheal lesions (consistent with tracheal papillomatosis), as well as an endobronchial lesion that was obstructing the right middle lobe bronchus (Figure 3).
Bronchoscopic examination of the airways showed active bleeding from the right middle lobe bronchus.