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Pulmonary cancer is primary cancer which originates from different tissues. It s the  most common cause of death in developed countries. It usually Present first as an abnormal shadow in the CXR and when the Patient becomes symptomatic, the disease is advanced and inoperable. Clinically, the most common symptom is cough and hemoptysis, other symptoms are rare, and dysphasia as a presenting symptom has not been mentioned in the reference textbook, in this article, while discussing about different clinical signs at this cancer, we represent a patient with proved bronchogenic carcinoma whose first presentation has been dysphasia.