Foreign body (FB) aspiration commonly occurs in the 1–3 year age group, and is a leading cause of pre-hospital death in children. It can present early (with history of choking, cough, dyspnoea, stridor or wheeze) or late (intractable cough, fever, wheeze, pneumonia). Organic materials are most commonly implicated, which are radiolucent. The majority of aspirated FBs lodge in the bronchial tree, especially the right side, and lead to cough, wheeze and reduced air entry distal to the site of