A spontaneous tracheal rupture is rare and life-threatening. We postulate that long-term steroid administration is an under-reported risk factor. We present a case of an impending spontaneous tracheal rupture in a 51-year-old female with a significant medical history of systemic lupus erythematosus and interstitial lung disease. and a drug history of chronic steroid intake for 9 months. https://www.shopwildwestes.shop/product-category/shirts-boys-2/