Plombage thoracoplasty using different synthetic materials was a popular procedure in the management of tuberculosis (TB) in the 1940-50's, being then abandoned. We report an 81-year-old patient who underwent a plombage thoracoplasty with balls at the age of 35; at the moment of examination in our unit, the patient had no chest complaints and no complications related to the surgical procedure was noted. CT scan showed the presence of the plombage material (balls) surrounded by fibrosis and calcifications but without other significant lesions. In our knowledge, this is the first modern detailed imaging description of a plombage thoracoplasty with uncomplicated outcome 46 years after surgery.