In Uzbekistan, mass X-ray screening for TB is still used. The groups targeted are broad and include at least 50% of the population. Of all pulmonary TB cases, 73% are reported to be detected by this method. However, in this study of 85 randomly selected pulmonary TB patients, only 16% confirmed were been detected through this method. Having known risk factors for TB did not increase the likelihood of its being detected, which highlights the need to revise the current screening policy.