Department of Thoracic Surgery, Medicine Faculty of Erciyes University, Kayseri

A 48-year-old man presented with complaints of progressive dry cough, shortness of breath, low-grade fever, and weight loss. He had a history of metal nail aspiration of three-month duration. A chest radiograph and computed tomography scan showed a nail-shaped shadow in the peripheral region of the right lower lobe. A mini thoracotomy was performed after an unsuccessful attempt for rigid bronchoscopy due to hemorrhage. The nail was removed by wedge resection and pathologic examination revealed small cell lung cancer. This coexistence of foreign body aspiration with lung cancer is a very rare entity.