A 60-year-old woman, admitted due to laryngeal stridor and dyspnea after a history of 2 months of dry cough that had turned productive, accompanied by odynophagia, headache, malaise, and temperature of 37.5 C. She had a history of 10 years of active and passive smoking and renal transplantation 5 years prior to consultation on immunosuppressive and tuberculosis (TB) treatment with positive sputum smear microscopy. A thoracic CT was performed showing mixed interstitial alveolar infiltration on the superior and inferior areas of the right lower lobe. Multiple soft tissue nodules were found in the trachea, without stenosis (Figure 2). Bronchoscopy showed multiple whitish lesions in the lower third of the trachea and main bronchi, with a random distribution affecting the anterolateral walls. There were signs of left endobronchitis, and for this reason, endobronchial tuberculosis was ruled out.