The European Crohn’s and Colitis Organization, the British Society of Gastroenterology, and the Asian Organization for Crohn’s and Colitis recommend that patients with IBD should be screened for TB infection by chest radiography and a tuberculin skin test and/or IGRA before anti-TNF agent initiation.[4–7] CT revealed a nodular lesion at the apex of the right lung in the present case. Here, TNF is linked to colitis.