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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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 position.
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 lesions.
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Imaging Differential Diagnosis:
Her initial surgery at 4 years of age showed papillomas in the larynx, throat, and back of mouth.
Pathological examination of the surgical specimen from 4 years of age showed findings characteristic of papilloma.
Follow-up and Prognosis:
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