Abnormal orientation of Amplatzer PDA device on a chest radiogram masking foreign body aspiration

Foreign body aspiration and consequent atelectasis of the lower lobe of the left lung with rotation of the heart resulted in an unusual radiographic appearance in a young girl who had recently undergone transcatheter closure of a patent arterial duct and coil embolization of an aortopulmonary collateral. The patient's chest radiography, who was originally admitted at a center with no echocardiography availability, was interpreted as showing embolization of one or both devices. Only clinical evaluation and echocardiography confirmed appropriate device position. Subsequently, foreign body aspiration was suspected and confirmed at bronchoscopy, and successfully treated. Atelectasis resolved within few days.