CXRs can be abnormal, and presentations can range from solitary pulmonary nodules, atelectasis, and infiltrates to hilar masses. Chest CT scan is useful not only for staging but also in assessing the intraluminal tumor as well as tumor extent beyond the bronchial wall, which typifies the carcinoid as an iceberg tumor. Because carcinoids are vascular, these well-defined homogenous tumors enhance with contrast, and up to 30% of carcinoids are calcified with a punctate or diffuse pattern.4 Although three-dimensional CT scan reconstruction with internal rendering (virtual bronchoscopy) has demonstrated a high sensitivity for polypoid lesions, this technique is limited by a high false-positive rate because of the difficulty of differentiating retained secretions from true airway lesions. Virtual bronchoscopy can, however, provide information about patency of airways beyond the site of obstruction or stenosis.5 Bronchoscopy remains the investigation of choice for localization and histologic diagnosis of carcinoid tumors, even though biopsy is associated with a significant risk of bleeding. Bronchoscopic biopsy of these tumors is not contraindicated as long as proper precautions are observed. Other endobronchial pathologies include primary squamous cell carcinoma, endobronchial metastasis, lymphoma, viral papilloma, granuloma, hamartoma, and foreign body.