This document contains chest imaging findings from cases in Zambia, including various pulmonary infections, masses, and other pathologies. Pulmonary tuberculosis is shown in HIV-positive patients, along with opportunistic infections like Pneumocystis jirovecii pneumonia. Other findings illustrated include aspergillosis, radiation pneumonitis, empyema, lung cancers, sarcomas, and mediastinal abnormalities such as lymphadenopathy, cysts, and aneurysms. The importance of chest x-ray and CT for evaluating unusual signs is emphasized.