ABSTRACT:A 42-year-old Army helicopter pilot presented with expectoration of small stones caused by a large calcified hilar lymph node that partially protruded through the right bronchus intermedius. The endobronchial mass that partially occluded the bronchus was composed of granulation tissue and micro-calcifications. The mass was removed using the Nd:YAG laser during three separate bronchoscopies over a 1 -year period because of regrowth of the mass after each treatment. Treatment with the Nd:YAG laser obviated the need for open thoracotomy for broncholithectomy and the resultant morbidity from potential removal of lung parenchyma.