. Pulmonary function in acromegaly. The lung volumes of 12 female and eight male patients with acromegaly, chosen because of the absence of associated cardiorespiratory disease, were determined physiologically and radiographically. Enlarged lung volumes were found in half the males but in none of the females, due allowance being made for the presence of a significant thoracic kyphosis. Upper airway narrowing was suggested by an increase in the expiratoryinspiratory flow rate ratio in six patients, four of whom were male, and acromegaly of the larynx was confirmed in the three subjects who consented to laryngoscopy. Upper airway obstruction is more likely to account for respiratory death in acromegaly than disordered pulmonary function in enlarged acromegalic lungs. Neither of these respiratory findings could be correlated with the fasting level of growth hormone but there was a suggestion that they were more likely to occur when the duration of the disorder was longer.Enlargement of visceral organs such as the heart and kidney is a well recognised manifestation of acromegaly (Cushing and Davidoff, 1927;Gordon et al., 1962). The lung volumes in this condition have been measured in few subjects and the results are disparate. Brody et al. (1970) showed that in six male acromegalics the total lung capacity (TLC), functional residual capacity (FRC), and vital capacity (VC) were increased up to a mean of 140% predicted, whereas in four females these volumes were normal. In contrast, Toppell et al. (1973) found that the TLC and VC were increased in seven females with acromegaly up to a mean of 111% and 116% predicted respectively. They confirmed increases in the TLC, VC, and residual volume (RV)