Two patients in their 80s were undergoing evaluation for valvular heart disease. They endorsed remote history of cavitary tuberculosis that was treated in their 20s. Both patients remained free of reactivation tuberculosis since. The first patient’s chest radiograph showed left upper lobe collapse created by multiple polyethylene balls (each <1 inch in diameter) tightly packed in the extrapleural space of the left upper hemithorax (Figure A). The second patient’s radiograph showed a large, densely calcified opacity in the right upper hemithorax with complete collapse of the right upper lobe caused by extrapleural injection of paraffin oil (Figure B).
