About the Author(s) Sunette Claassens Department of Paediatric Radiology, University of the Witwatersrand, South Africa Charl Verwey Organisational Unit of Paediatric Pulmonology, University of the Witwatersrand, South Africa Tanyia Pillay Department of Paediatric Radiology, University of the Witwatersrand, South Africa Citation Claassens S, Verwey C, Pillay T. An approach to non-radiodense aspirated foreign bodies in the paediatric patient. S Afr J Rad. 2017;21(1), a1143. https://doi.org/10.4102/sajr.v21i1.1143 Note: A selection of conference abstracts: RSSA/SASPI Paediatric Imaging Congress, 03–06 November 2016, Spier Estate, Stellenbosch, South Africa. Faculty collaborators: Professor Kassa Darge (Body Imaging, University of Pennsylvania, Philadelphia,USA), Professor Edward Lee (Thoracic Imaging, Harvard University, USA), Professor Beverley Newman (Cardiac Imaging, Stanford University, California, USA), Professor Kimberly Applegate (Image Gently and Body Imaging, Emory University, Atlanta, USA) and Professor Savvas Andronikou (Thoracic Imaging, University of Bristol, UK) supported by South African Paediatric Radiologists, co-ordinated by Dr Jaishree Naidoo, President of the African Society of Paediatric Imaging and Head of Division of Paediatric Radiology, Charlotte Maxeke Johannesburg Academic Hospital. Conference Abstract An approach to non-radiodense aspirated foreign bodies in the paediatric patient Sunette Claassens, Charl Verwey, Tanyia Pillay Copyright: © 2017. The Author(s). Licensee: AOSIS. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction: Foreign body aspiration is a common and often serious problem in paediatric patients. Approximately 80% of paediatric foreign body aspiration episodes occur in children younger than 3 years. Almost 90% of aspirated foreign bodies are non-radiodense and therefore not seen on radiographs. Clinical presentation may be subtle and can become a diagnostic dilemma, particularly if there is no witnessed aspiration. Aim: An educational poster on a radiological approach to aspirated non-radiodense foreign bodies. Methods: We present serial chest radiographs of bronchoscopically confirmed non-radiodense foreign bodies. Conclusion: Knowledge about the different radiological features suspicious for foreign body aspiration is essential and can guide appropriate intervention including bronchoscopic retrieval, which may prevent permanent pulmonary sequelae.