Tuberculosis Case Presented with a Solid Mass Lesion in the Lung

Tuberculosis can be presented with different radiological forms. Mass lesion with the diagnosis of pulmonary tuberculosis is not rare in literature. Sometimes it is challenging to be sure of the diagnosis of tuberculosis and excludes coexisting cancer in a patient presented with mass lesion. In this paper diagnostic difficulties and follow up of a 45 years old male patient with a family history of lung cancer and a smoking history (25 packs/years) who was presented with a mass lesion on his chest radiography is discussed with review of literature. We would like to emphasize the difficulties of differential diagnosis in communities in which both of the clinical situations were common.