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Images in thorax
Recurrent respiratory papillomatosis with lung involvement and malignant transformation
  1. En-Li Shiau1,
  2. Ming-Feng Li1,
  3. Jung-Hsiu Hsu1,
  4. Ming-Ting Wu1,2
  1. 1Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
  2. 2School of Medicine, National Yang-Ming University, Taipei, Taiwan
  1. Correspondence to Dr Ming-Feng Li, Department of Radiology, Veterans General Hospital-Kaohsiung, 386 Ta-Chung First Rd., Kaohsiung 813, Taiwan; oudinot{at}

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A 49-year-old male had history of recurrent laryngeal papillomatosis spreading to the bronchus and lung parenchyma since childhood. He had been treated with repeated endoscopic CO2 laser excision (figure 1). He had no smoking history. He was admitted with a 3-day history of worsening fever, cough and dyspnoea. Chest radiography showed a right lower lung mass, bronchiectasis, many cystic lesions and right pleural effusion (figure 2A). The right lower lobe mass measured 8.8×7.0 cm and had central hypodense areas consistent with necrosis (figure 2B, taken 8 years after figure 1) and there …

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