Pulmonary amyloidosis is uncommon and is usually associated with systemic amyloidosis.Localized pulmonary involvement in amyloidosis without systemic amyloidosis is even rarer;it is generally tracheobronchial or parenchymal in location.Parenchymal pulmonary amyloidosis is generally asymptomatic and an incidental finding,presenting as nodules varying in size and number,unilateral or bilateral.We present an unusual case of primary bilateral pulmonary nodular amyloidosis in an elderly female.