A 75-year-old smoker patient presented to our hospital with shortness of breath and mild hemoptysis. A chest radiograph demonstrated a suspicious left parahilar opacity (Fig. 1A). A thoracic computed tomography (CT) confirmed an endobronchial lesion at the origin of the left upper lobe bronchus (Fig. 1B) causing a complete atelectasis of the lingula. In addition, several bilateral pulmonary nodules (Fig. 1C and 1D) with mixed attenuation (ground glass density with a small central solid focus) were observed.