Extra-adrenal paragangliomas are rare with head and neck being the most common sites. [1] Primary paraganglioma of lung is even rarer. [2] Only a few cases of primary pulmonary paraganglioma have been reported in literature and was first reported by A. G. Heppleston in 1958. [3] A 57-year-old male, non-smoker presented with fever and persistent cough. The results of his clinical laboratory examinations as well as his blood pressure were normal. Arterial blood gas analysis showed normal oxygen saturation.