X-ray misses, CT kisses (diagnosis) and stent blows breath o
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Chronic obstructive pulmonary disease in exacerbation is the foremost consideration in any elderly individual who presents with breathlessness and history of smoking. More so, if the cardiac cause is ruled out. However, when the response to treatment is suboptimal, other conditions should also be kept in mind. This is warranted when features such as hoarseness are also associated with breathlessness. Chest X-ray is the first line investigation that easily guides to suspect the cause. When chest skiagram appears normal, time to reach the final diagnosis is little delayed. This is what happened in the present case. Further imaging of the chest picked up the cause of new onset wheezy breathlessness at a level higher than expected. It was extension of growth in the trachea compromising the lumen severely...

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