Chest computed tomography (CT) scan of a 70-year-old patient, retired farmer, smoker, alcoholic exhibits symptoms compatible with chronic obstructive pulmonary disease, progressing with loss of weight, cough, hemoptysis, and increased dyspnea. Chest radiograph with right perihilar opacity. Chest CT confirmed the finding. Fibrobronchoscopy with endobronchial biopsy of the lesion was performed and showed the presence of acid-fast bacilli, with confirmation of Mycobacterium tuberculosis in culture media.