A 28-year male was admitted to the hospital with severe shortness of breath. His cervical spine CT showed upper airway obstruction. ENT was consulted and a laryngoscopy was done revealing papillomatosis of the vocal cords and tracheal lumen distal to the cords.
He was taken to the OR and underwent tracheostomy with excision of laryngeal and tracheal papillomatosis.Subsequently, a CT of the chest was done secondary to concern for a possible pneumothorax. Radiology diagnosis (images attached) CT of the chest revealed multiple bilateral cavitary/cystic lucencies with a differential diagnosis of pulmonary TB versus laryngotracheobronchial papillomatosis (most likely), metastases, cystic bonchiectasis, endocarditis, histoplasmosis, PCP, sarcoidosis, wegener's, or LAM. Subsequent bronchoscopy showed layngotracheal papillomatosis s/p excision A histopathologic biopsy revealed squamous…
