Tortuous capillaries in smoker's polyps

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Smokers polyps or Reinke's edema during breathing in

Smokers polyps or Reinke's edema during breathing in. Breathing in stronger sucked the left polyp in as well is the right.

This very talkative female in her 50s has asymmetric smokers polyps. She is a 20 pack-year history of smoking. The polyps are most visible when breathing inward, where Bernoulli effect draws them into the airway.