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Question:
Naline Juilland, Maxime Mermod
Service d’Oto-rhino-laryngologie et de Chirurgie Cervico-Faciale, Lausanne, Switzerland

Address for Correspondence: Dr Maxime Mermod (MD), Service d’Oto-rhino-laryngologie et de Chirurgie Cervico-Faciale, Rue du Bugnon 46, 1011 Lausanne, Switzerland. E-mail: maxime.mermod@chuv.ch

An 18-month-old male presented to the emergency department with a history of choking while eating 5 days prior. Despite a trial of treatment with bronchodilators, he had a persistent cough. Physical examination revealed reduced breath sounds over the left lung field, intercostal retractions, and prolonged expiration. His vital signs were normal. Chest X-ray showed over-inflation of the left hemithorax with mediastinal shift to the right.

What is your diagnosis_?

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