CASE PRESENTATION: 65 years old male patient came for the evaluation of abnormal chest imaging. He was asymptomatic at presentation. His past medical history was significant for chronic obstructive pulmonary disease, schizophrenia, constipation and papillary carcinoma of thyroid for which he had undergone total thyroidectomy. His medications include albuterol, tiotropium bromide, levothyroxine, clozapine and mineral oil laxative. He had 15-pack-years smoking history which he quit 12 years ago. His lung examination revealed normal breath sounds. CT chest showed scattered ground glass opacities with bronchiectasis in left lower lobe and spiculated nodules in the left lower lobe and right middle lobe (Figure 1). A bronchoscopy with bronchoalveolar lavage and transbronchial biopsy of left lower lobe was performed. Lavage revealed neutrophil-predominant aspirate with rare mesothelial cells. Transbronchial biopsy was consistent with lipoid pneumonia (Figure 2). Mineral oil laxatives were discontinued. CT chest after 3 months showed radiographic improvement and the patient remained asymptomatic.