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Extensive Tracheobronchial Wall Thickening and Luminal Narrowing in a Patient with Longstanding Hoarseness

A 66-year-old male patient was referred to a pulmonary physician because of increasing dyspnea on exertion over the past 2 years. Ten years prior the patient had developed chronic hoarseness, and the diagnosis of hyperplastic laryngitis was made. His past medical history was remarkable for recurrent upper airway infections, but otherwise noncontributory. He was a lifetime nonsmoker. He denied fever, weight loss, fatigue or other symptoms.