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A 34-year-old male patient was admitted to our polyclinic after detecting anomalous findings on chest radiography that was taken at his workplace as a control. The patient who was asymptomatic had no known chronic diseases. He worked in various factories that produce polyester from fiberglass. An anamnesis of 15 packs of cigarettes per year was present, and he was still an active smoker. In his physical examination, inspection was natural and secretory rough rales were heard in the right infrascapular region. His pulmonary function tests were within normal ranges. No pathological findings were detected in his routine blood tests. In his background, he reported that he survived a horse-drawn vehicle accident at age 5, in which the wheel of the vehicle went over his abdominal region and he therefore underwent a liver operation. No history of tuberculosis or of contact with tuberculosis was present. The tuberculin skin test was measured as 14 millimeters. On his chest radiography, in the right lung upper zone, in the subclavicular area, a parahilar mass with a diameter of 3–4 cm with smooth margins and lobulation was observed (Figure 1). Because a hyperlucent area surrounding the mass stood out, an expiration film was performed. On the expiratory radiography, the area surrounding the mass with local hyperinflation was monitored more carefully (Figure 2).

A 37-Year-Old Asymptomatic Male Case of Mass Lesion in the Right Upper Zone detected on Chest x-Ray: What is your Diagnosis?