Lung cancer and interstitial lung disease share some common environmental and occupational risk factor. Patients of interstitial lung disease (ILD) are known to have higher risk of developing bronchogenic carcinoma. Most of the studies report distinct anatomical distribution of the lung cancer, with most tumours found in the periphery of the lung and in the region of honeycombing or at the junction of honeycombing and normal tissue. Here we present a case of a peripheral bronchogenic carcinoma clinically mimicking Pancoast tumour in a patient with ILD.