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Fig. 4. —69-year-old woman with bronchial anthracofibrosis who presented with cough. Sputum acid-fast stain was positive for acid-fast bacilli. Contrast-enhanced CT scan shows consolidation with fluid-bronchogram in right middle lobe. Note endobronchial lesion with low attenuation and multiple calcifications (black arrow). Note multiple nodules and patchy consolidations in superior segment of right lower lobe (white arrows), suggesting active tuberculous lesions.