A one-year-old boy presented with evening rise of fever for 20 days and cough for 15 days. There was no loss of weight or contact with TB. He was investigated for the same, and the chest X-ray was suggestive of hyperinflation of right lung and shift of mediastinum to left side. A computed tomography (CT) chest with virtual bronchoscopy showed intraluminal right main bronchus necrotic lymph node with patchy consolidation in right middle and lower lobe. Bronchoalveolar lavage did not grow tuberculous bacillus on culture. Child was started on four drugs anti-tuberculous therapy (ATT) consisting of isoniazid (H), rifampicin (R), ethambutol (E), and pyrazinamide (Z) for 2 months and HR for next 7 months. He gained 3 kg weight in the 9-month ATT regime, and X-ray chest on follow-up was absolutely normal.