A 9-year-old spayed female West Highland White Terrier was referred to the Washington State University (Pullman, WA) Veterinary Teaching Hospital (WSU-VTH) for evaluation of a suspected tracheal mass. For most of her life, the dog had experienced periodic respiratory difficulty, primarily inspiratory, after exercise. An increased frequency of episodes of respiratory difficulty was reported in the 6 months before examination at the WSU-VTH. Neither coughing nor other clinical signs suggestive of respiratory disease were observed between episodes of respiratory difficulty. Thoracic radiographs obtained by the referring veterinarian approximately 6 months before examination at the WSU-VTH were consistent with focal tracheal thickening.Additional history offered no clues to the origin of the dog's respiratory signs. The dog had been obtained as a puppy from Missouri and had traveled to Wisconsin between 6 and 7 years before examination at the WSU-VTH, but she had no other travel history since that time. Prior treatments included amoxicillin for suspected lower urinary tract infection 3 months before referral, diethylstilbesterol (dose not specified) for urinary incontinence, and methionine for urine acidification. None of these treatments changed the character of the respiratory signs.On physical examination, the dog was overweight. Temperature, pulse rate, and respiratory rate were normal, as was the dog's respiratory pattern. A cough could not be induced with tracheal palpation, and breath sounds were normal. The rest of the physical examination, except for a missing upper left 1st incisor tooth, was normal.The only abnormal result on CBC and biochemistry was mild neutrophilia (10,248/ L; reference range, 3,000-7,100/ L); a urine sample could not be obtained. On thoracic radiographs, narrowing of the trachea on the lateral view and possibly a mass in the ventral trachea at the 1st rib were observed (Fig 1). During bronchoscopy, tracheal collapse and numerous white-to-yellowish nodules were noted on the ventral and lateral walls of the trachea, typically associated with tracheal rings (Fig 2), and in the lobar bronchi. A discrete mass was not seen. The nodules were hard, did not move with pressure from the tip of the endoscope or a biopsy forceps, and appeared to be covered with mucosa. Most nodules were less than 3 mm in diameter, as gauged from the diameter of the biopsy forceps.