Tracheobronchial compression was observed in 55% of 20 consecutive newly diagnosed children with Hodgkin lymphoma at Children's Hospital of Philadelphia. In most reports of Hodgkin lymphoma, no mention is made of tracheobronchial compromise. This radiographic finding may explain respiratory symptoms, aid in initial therapy planning, prevent sudden deterioration, and help guide intubations for anesthesia or respiratory support. At times, fluoroscopy and tomography were helpful in confirming the plain film findings.