Lipoid pneumonia is a rare disorder with incidence of 1–2.5 % [2], wherein the interstitial and alveolar compartments are filled with lipid components. Endogenous and exogenous types of lipoid pneumonias are the two major types. Here 26 years male presented with cough and dyspnea for past two weeks with a history of accidental petrol ingestion 2 weeks back was diagnosed to have findings of exogenous lipoid pneumonia on HRCT and further presented with foamy lipid rich macrophages on BAL.