SummaryWe present a case of foreign body aspiration, the diagnosis of which was delayed until two months after the event. This case highlights the importance of a detailed clinical history in establishing the diagnosis of aspiration and how this was complicated by direct visualisation via bronchoscopy which suggested a possible diagnosis of bronchial carcinoma. Subsequent histological analysis confirmed a diagnosis of Brazil nut aspiration, which ultimately required surgical extraction through a rigid endoscope.

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