Primary pulmonary lymphomas are rare with primary pulmonary non-Hodgkin lymphoma accounting for only 0.3% of primary lung neoplasms. Of these, the large majority are made up of marginal zone B-cell lymphoma and diffuse large B-cell lymphoma. We present a case of a very rare primary pulmonary anaplastic large cell lymphoma presenting as the luftsichel sign on chest radiograph. Pertinent imaging and pathology findings are discussed.