Chest X-ray of a 39-year-old male patient with a history of pan-susceptible tuberculosis treated for six months in 2007. The patient was considered cured. Later in time, he reported a six-month history of cough, mild dyspnea, but no fever. Tuberculosis relapse was ruled out; sputum smear microscopy and culture were negative. The image shows a giant cavity in the right upper lobe and some fibrotic changes.