We present the case of an asymptomatic male in whom bilateral hilar and right paratracheal lymph node enlargement was a casual finding. An esophagogram was performed to evaluate possible mediastinal nodes and an esophagobronchial fistula was discovered. In view of the coexistence of lymph node enlargement and esophagobronchial fistula, the case was presumed to be tuberculosis, as was confirmed by sputum culture positive for Mycobacterium tuberculosis. After tuberculostatic treatment, the course was favorable. Closure of the fistula was confirmed in a later follow-up.