Endobronchial tuberculosis simulating lung cancer

We describe an atypical presentation of endobronchial tuberculosis in a 45-year-old female who presented to us with a non-resolving pneumonia. Her radiological examination including contrast enhanced CT-scan suggested a diagnosis of bronchogenic carcinoma or adenoma. Gross bronchoscopic finding also favoured malignancy. But her bronchoscopic biopsy revealed caseating granulomatic lesion. She responded to antitubercular treatment.