The lung is a frequent site of metastasis and often the site of solitary metastasis of renal cell carcinoma (RCC). Since renal cell carcinoma is notorious for metachronous metastasis, even decades after removal of the primary tumor, life-long follow-up has been suggested. Surgical resection for pulmonary metastasis of RCC is a safe and effective treatment that offers improved survival benefits. Preoperative identification of patient and tumor risk factors is imperative in selecting patients for metastasectomy. We report a 66-year-old man who underwent left radical nephrectomy for RCC 7 years before this admission and presented with an obstructive pneumonitis mimicking an endobronchial tumor as metachronous pulmonary metastasis.