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Chylothorax is the presence of chylus in the pleural cavity and is due to the damage or blockage of the thoracic duct. Surgery or trauma is the most common cause of chylothorax. Malignant lymphoma is the most common cause among nontraumatic etiology. Whenever a chylothorax of unknown etiology occurs, we should rule out underlying malignant lymphoma. Here, we present a case of lymphoma presented with bilateral chylothorax.

Patients with chest wall tumors present diagnostic and therapeutic challenges. The differential diagnosis of these tumors is broad because they can present a heterogeneous spectrum of diseases such as primary benign or malignant tumors, metastasis, local extension of adjacent tumors, and infectious or inflammatory conditions. Among that, primary chest wall tumors are rare.

Lipoid pneumonia is a rare condition that accounts for 1%–2.5% of all pneumonia. There are two types – exogenous and endogenous. In recent days, exogenous lipoid pneumonia has been on an increasing trend due to the exponential use of vaping. Exogenous lipoid pneumonia usually presents with cough, fever, breathlessness, chest pain, and weight loss. Usually, it is a diagnosis of exclusion and the presence of lipid-laden macrophages is required for its diagnosis. Here, we present a case of lipoid pneumonia which showcased the importance of detailed clinical history elicitation, approach, and management of lipoid pneumonia.