A 70-year-old woman was admitted to the hospital with left pleuritic chest pain for 3 days. She complained of a cough, sputum, and chilling sensation but no dyspnea. She had no history of smoking or trauma. Pneumonia with a parapneumonic effusion and endobronchial nodule were evident on the chest computed tomography and flexible bronchoscopy (Fig. 1A, B). Despite receiving intravenous antibiotics and undergoing toilet bronchoscopy, the patient’s fever persisted. A pneumothorax was also detected, which recurred despite a closed thoracostomy (Fig. 1C). To address the obstruction of the left main bronchus, which was causing prolonged obstructive pneumonia and barotrauma, the patient underwent surgery. Thoracoscopically, the left lower lung was totally consolidated and purulent pus with a thickened pleura was noted (Fig. 2A). An endobronchial mass was removed through the bronchus (Fig. 2B). We performed a lobectomy of the left lower lung and the final histological diagnosis was endobronchial lipoma (Fig. 2C, D).