Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia
of Pediatric Thoracic Disease: Case 58Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Thirteen year old female with noisy breathing at night.
The patient was a 13 year old female whose mother noted that her
breathing was noisy at night when she was 4 years old. Papillomas
were noted in the larynx, throat, and back of mouth. She underwent
surgical and laser excision of the papillomas at 4 years of age.
Chest films at that time were unremarkable. She presented again at 12
years of age with chest pain and difficulty breathing in the supine
Clinical Physical Exam:
Clinical Differential Diagnosis:
Chest films at age 12 showed multiple pulmonary lesions. Intramural
masses were seen in the trachea during airway fluoroscopy. Chest CT
exam better characterized the nature and extent of the pulmonary
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