A 58-year-old male patient was admitted to our clinic with complaints of productive cough and weight loss (6 kg) having begun with flu-like symptoms 15 days ago. His medical history included the use of acetylsalicylic acid after a cerebrovascular event from 9 years ago. The patient, who worked as a car mechanic, had 40 packs-year of smoking history. In the physical examination, his vital findings and oxygen saturation were within normal reference intervals, and no abnormality was observed, except limping in his right foot. Pulmonary function tests revealed mild obstructive dysfunction. The laboratory test value of C-reactive protein was 7.3, and the values of complete blood count and biochemistry were within normal intervals. The PPD test result was 10 mm.In the posteroanterior chest X-ray, an oval mass lesion, the long margin of which extended toward the hilus in the neighborhood of the aortic curve on the left, was observed. In the lateral radiography, it was detected that the mass was localized in the upper mediastinum (Figure 1). The parenchymal window of the thorax computerized tomography revealed a 7x4 cm mass lesion extending from the level of the aortic arch in the left upper lobe to the subcarinal level in the neighborhood of the aorta. In the mediastinal window, it was observed that the mass included necrosis and air bubbles (Figure 2).In the flexible bronchoscopy of the patient, it was determined that the separation of the left upper lobe apicoposterior carina and internal bronchus appeared irregular all around, and there were white nodules on it. The result of the mucosal biopsy that was performed was reported as "extensive squamous metaplasia in the bronchial mucosa epithelium and severe dysplasia. " On the other hand, in the autofluorescence bronchoscopy, the mucosa of the carina between the left upper lobe apicoposterior and anterior segment was swollen, hyperemic, and fluorescent (+). Samples from this region were taken with mucosal and brush biopsies. The result of the pathology was "focal squamous metaplasia in the bronchial mucosa epithelium and dysplasia, " and the result of the brush biopsy was reported as "inflammatory cells. "