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1) Although tracheopathia osteoplastica is a rare clinical entity, more and more cases are being recognized antemortem because of the liberal use of endoscopic investigation.
2) Once the endoscopist has seen such a case he will never forget the typical picture of the blunt spicule like formation jutting out into the lumen of the lower trachea, like many miniature icebergs clustered together. The grating of the tip of the bronchoscope in passing over these irregular stony surfaces is also a memorable experience not easy to forget.
3) A case, presenting the typical endoscopic picture of tracheopathia osteoplastica is here presented.
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