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Multiple pulmonary artery aneurysms associated with pulmonary artery thromboses and infarctions are uncommon and occur almost exclusively in Behçet's disease (BD). Because of the rarity of the disease outside endemic areas, sporadic cases may go unrecognized. We report two African-American men with thoracic vascular manifestations of BD. In one patient the diagnosis of BD was made solely on the basis of the characteristic intrathoracic involvement.