Dear Editor,
Pulmonary lymphoepithelial-like carcinoma (PLELC) is a rare subtype of non-small cell lung cancer (NSCLC), representing < 1% of all lung cancers. Epstein-Barr virus (EBV) infection is the most common cause. It is generally diagnosed in middle-aged, non-smoking women of Asian descent. The authors present the case of a 71-year-old woman, born in Macau, non-smoker, who was admitted to the emergency department due to productive cough, fever, and an episode of hemoptoic sputum in the previous three weeks. Chest computed tomography (CT) with contrast, excluded active hemorrhage and identified a spiculated lingular nodule. In the oncology clinic, 18F-FDG PET/CT confirmed the presence of a solid lingular nodule, measuring 12.5 X 9 mm, hypermetabolic (SUV max: 1.4) consistent with a malignant neoplastic lesion.

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