INTRODUCTION: Endobronchial ultrasound (EBUS) allows real-time visualization of structures adjacent to the airways during bronchoscopy. EBUS is the recommended initial modality for mediastinal staging in lung cancer1 and plays an important role in patients with sarcoidosis, tuberculosis and lymphoma2. So far, there is insufficient data to evaluate the role of EBUS in diagnosis of pulmonary embolus. There are 6 case reports describing diagnosis of central PE, and a pilot study comparing EBUS to CT-angiography which demonstrated 96% accuracy but the bronchoscopists knew the diagnosis and location of the PE prior to EBUS3. We describe a case report of multiple acute bilateral lobar PE diagnosed with EBUS in an asymptomatic patient.