Chest computed tomography (CT) scan of a 59-year-old patient, ex-smoker, retired farmer with evening fever for 2 weeks, weight loss, and pleuritic pain. Chest radiograph with nodular lesion in the left inferior lobe. Chest CT with juxta-pleural lesion in the left inferior lobe. A thoracotomy biopsy was performed. The histopathologic analysis showed granulomatous processes with areas of necrosis and fungus consistent with Paracoccidioides brasiliensis, confirmed by fungus growth in Sabouraud agar.