In a country like India where the burden of tuberculosis is high, pulmonary tuberculosis is the first differential diagnosis when a patient presents with chronic cough, fever, and weight loss. However, many other infectious and noninfectious diseases also can present with similar symptoms. Infra diaphragmatic lesions also can present with chronic cough with fever and weight loss. We present a rare case of bilateral suprarenal mass diagnosed as Non-Hodgkin lymphoma presenting with chronic cough, fever, and weight loss. We aim to highlight extra thoracic causes for chronic cough with fever in this article.