Case Presentation: An 86-year-old female with a history of atrial fibrillation, hyperlipidemia, and recurrent pneumonia presented with worsening dyspnea, productive cough, and significant oxygen dependency. CT imaging revealed bilateral dense consolidations and nodular infiltrates, raising suspicion for malignancy, cryptogenic organizing pneumonia, or aspiration-related pathology. Despite broad-spectrum antibiotics and steroids, her clinical condition remained refractory. Bronchoscopy [...]