The most common symptoms include cough and expectoration of mucopurulent sputum, along with breathlessness. A majority of the patients were nonsmokers, ages ranged from 3 to 84 years, and gender distribution was relatively equal. Patients with Crohn’s disease may develop various forms of interstitial lung disease (ILD), the most common being organizing pneumonia or nonspecific interstitial pneumonitis. In many cases, lung biopsy is still required to establish an accurate diagnosis and to guide treatment. Little is known about BAL in this setting. With this constellation of histologic findings, the pathologic differential diagnosis includes a number of diagnoses, such as infection, drug-induced disease, hypersensitivity pneumonitis, and sarcoidosis.