The clinical presentation of<unk>  beyond expectoration of casts includes a productive cough, dyspnea, fever and wheezing. Focal wheezing is a characteristic, if not specific, physical examination finding. If the casts completely obstruct the airway, breath sounds will be decreased and dullness will be present with percussion. With partial obstruction, a “fan sound” or “flag flapping” sound can be heard during auscultation. Bronchial casts can sometimes fill the airways of almost an entire lung, and present as an acute, life-threatening emergency.
Plastic bronchitis
Eosinophilic bronchitis
Acute bronchitis
Mineral dust airway disease
Bronchiectasis
Dust pneumonia
Atypical pneumonia
Acute eosinophilic pneumonia