We report a 26-year old lady who presented with chronic cough and breathlessness associated with subtle
TB symptoms for 1 year. Her CT thorax showed multiple cavitating pulmonary nodules with mediastinal and
cervical lymphadenopathy. Cervical lymph node biopsy and CT-guided pulmonary biopsy at our centre
confirmed the diagnosis of Hodgkin’s lymphoma with pulmonary infiltrations. She was successfully treated
with ABVD regime but later developed life-threatening bleomycin-induced pulmonary fibrosis. Sadly, she
succumbed to respiratory failure due to severe pneumonia with possibility of bleomycin-induced pulmonary
fibrosis. Multiple cavitating pulmonary nodules secondary to lymphoma is rare and in TB endemic area, it
may result in delayed diagnosis and treatment.