CASE PRESENTATION: A 46 years old female patient, complained of chest pain, cough and sputum for three months. She felt right chest pain three months ago, the pain was persisting. She had coughing and large amount of white sputum. Two months ago she was diagnosed with pneumonia and treated with amoxicillin for 1 week but the symptoms were not relieved. One months ago, she coughed up some whtie material like stone. The shape of the stone is irregular, the diameter is about 5mm. Five days ago she had severe cough and yellow sputum and then came to our hospital. PE: The chest wall was symmetrical, percussion note was resonance, the breath sound was normal and no rales in alscultation. Blood rountine test: WBC 9.6×109/L, percentage of eosinophil was 10.8%. Blood coagulation is normal. Serum tests including hepatic function and renal function were normal. Chest CT scanning showed the infiltration in the right middle lobe, and calcification near the right middle bronchial, and the calcificated lymph node in the mediastinum. The results under the fibre bronchoscope showed the ulceration in the right middle bronchial. The results of acid-fast bacilliin sputum and BALF sample were negative. After the treatment of antibiotics, the patient was recovered.