A 60-year-old man who presented with a 15-day history of a productive cough in the tenth month post-transplantation. CT scan showing a bronchopneumonia pattern with multifocal centrilobular nodules beginning to coalesce, forming small foci of consolidation, the largest in the right lower lobe. There is also thickening of the bronchial walls and a few sparsely distributed airspace nodules. Examination of the bronchoalveolar lavage fluid revealed M. tuberculosis.