Abstract
The article discusses an intriguing case of a patient who presented with an infiltrative pulmonary process and an uncommon endobronchial finding. The issue was analyzed from a bronchologist's perspective.
The initial diagnosis of pulmonary tuberculosis was not strongly supported by the extensive deforming, fistulizing endobronchial findings, which are not typical of tuberculosis. Repeated microbiological examinations did not reveal mycobacterial infection.
During the diagnostic process, a broad range of differential diagnoses was considered, including esophageal cancer and other malignant processes affecting the mediastinum, as well as non-specific intestinal inflammations, systemic connective tissue diseases, and infectious etiologies. Despite repeated attempts at biopsy verification, the patient's condition continued to worsen.
The final diagnosis of lymphoma was a surprise, but it did mean some hope for this patient.