A) HRCT showing a predominant centrilobular nodulation with a scarse reticulation in the upper zones, some ground glass in the middle zones, and one cavitated and other lobulated nodule in the RUL; B) Crusty white lesion with edema and mucosal irregularity in the subglottic region, RMB, RULB, and IB, with reduction of their lumens; C) RMB lesion biopsy (H&E and Grocott-Gomori) showing granulomatous infiltration with necrosis, Langham’s giant cells and numerous fungus structures with a pilot wheel and Mickey mouse appearance (arrows); D) Regression of the endo bronchial lesions leaving some 25% reduction of the lumen specially in the RULB