RT Journal
A1 Al-Tatari H, Abdel-Haq N, Asmar B, Haupert M, Rabah R
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2006
FD December 1
VO 160
IS 12
SP 1297
OP 1297
DO 10.1001/archpedi.160.12.1297
UL http://dx.doi.org/10.1001/archpedi.160.12.1297
AB 
A 16-year-old, previously healthy Hispanic American female complained of coughing up small, round “brainlike” structures for the last 6 weeks. The cough was always preceded by a foreign body sensation or “something stuck” in the throat. The episodes occurred 3 to 4 times a week and were often associated with choking. Examination of the oral cavity revealed slightly enlarged tonsils without exudates. The rest of the examination results were normal. During her first visit to our clinic, she handed over 2 small, lobulated masses of white-gray material, which she had expectorated during the last few days (Figure 1). The material was sent for histopathologic examination (Figure 2).