This analysis was done to determine whether tuberculosis (TB) in the elderly is a different disease. The patients at the Ben Franklin Tuberculosis Clinic (BFTC) were divided into two groups. The elderly group was all patients aged 65 and older, and the control group was all patients aged 25 to 49. The analysis was divided into two parts. In Part 1, information was collected from the medical charts of the elderly patients. In Part 2, chi-squares and a t-test were used to analyze differences between the elderly group and the control group. Differences were found in the areas of gender, race, country of origin, HIV status, Tuberculin skin test, sputum smear, sputum culture, microscopic exam of tissue, condition of abnormal lung x-ray, TB drug prescription, treatment completion, and length of treatment. Based on the number and type of differences, it was determined that TB in the elderly is a different disease.