Abstract
I saw the patient for the first time on July 7, 1924. At that time, he was suffering from some dyspnea, hemoptysis, hoarseness and cough. The general history was unimportant, except that symptoms had come on gradually about six months before, and had increased to the present state. Physical and roentgen examinations of the chest gave negative results. The Wassermann reaction was negative, and observations on the blood were normal. The patient had received no injury to account for the symptoms. On examination, I noticed incomplete fixation of the right vocal cord with a slight lag in motion of the opposite side. The cords were not red or swollen, and the margins were smooth. The false cords and arytenoids were normal. One could see below the cords posteriorly a rounded, smooth mass as if the posterior wall of the larynx and the upper two rings of the trachea were bulging