In low-resource settings, a mobile x-ray unit is commonly brought to a prison and a team systematically screens hundreds of persons each day. A challenge, however, is access to the radiologist reading which can take several days after uploading and sending the images, sorting the results and back-tracking to identify the patients. AI technology allows the result to be immediately available to the screening team. The patient is identified, placed into isolation, and enrolled in evaluation and treatment. The process is a success in identifying disease and delivering care in an otherwise challenging environment. Using AI based CXR screening for prisons and correctional facilities hold huge potential not only for containing TB transmission but also flagging other lung health abnormalities. Based on our learnings from AI implementation, we have shared recommendations for other prison health screening programmes keen to integrate AI in their prison sites.