Diagnostic approach to a pulmonary nodule depends upon the characteristics of the nodule and its location. Despite utilizing advanced minimally invasive diagnostic techniques, the work-up might be challenging. We report the case of a 60-year-old woman with history of breast cancer that was treated with lumpectomy 11 years earlier. She presented with a pulmonary nodule located medially in the fissure between the left upper and lower lobes. Linear EBUS was chosen as a diagnostic approach and the diagnosis of metastatic breast cancer was made without any complications. This case highlights the potential use of linear EBUS in centrally located pulmonary nodules or masses.