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A 65-year-old female presented in our Emergency Department complaining of cough and progressive dyspnea. Plain chest radiography showed long-segment narrowing of the trachea. Multislice computed tomography confirmed the tracheal narrowing and demonstrated multiple nodular calcifications protruding into the visceral lumen, involving also the main and segmental bronchi but sparing the pars membranacea trachealis (Fig. A).