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Fig. 1 —Aspiration of bread piece in trachea of 34-year-old man with
mental retardation and abrupt dyspnea. Chest CT image (5-mm collimation, lung
window setting) after bronchoscopic removal of bread shows subcutaneous
emphysema, pneumomediastinum, and upper lung predominant consolidation in
bilateral dependent lungs. Consolidation represents additional areas of
aspiration that probably preceded tracheal aspiration.