In 2007, 46-year-old Jacqui Gray was one of many contestants in the fourth season of The X Factor. Like most talent show contestants, she had little in the way of actual talent. After smirking throughout her entire performance, Cowell asked Gray the patronizing question, "You have a very weird sounding voice, are you aware of that?" Both he and fellow judge Sharon Osborne suggested that she see a throat specialist, saying that it sounded like "somebody else is in there".
"Like a midget or something."
Displaying what has to be the world's least attuned sarcasm detector, Gray decided to take the advice of the judges and see a throat specialist. It was then that the doctor diagnosed her with bronchiectasis -- a potentially fatal lung disease that can cause irreversible damage to the bronchial tubes if you have it, or attempt to pronounce it. Had the condition not been caught in time, doctors noted that Gray's lungs would have been "more infected and full of bacteria than Ke$ha's lady parts."
Not a direct quote.