The patient is a 21-year-old college male who presented for surgical evaluation of a recurrent left lower lobe (LLL) pneumonia. Patient was a college elite athlete who had no smoking history. He had five prior hospitalizations for over a three-year period for LLL pneumonia with recurrent antibiotic use who had been extensively worked up for immunologic causes of pneumonia. Patient had a prior bronchoscopy showed no intra-bronchial lesions. During his initial thoracic surgery work-up the patient underwent a CTA chest that was concerning for LLL intralobar pulmonary sequestration without an aberrant blood supply. Pulmonary function tests (PFTs) were appropriate for surgical resection. The patient was consented for a left lower lobectomy given the multiple lobar segments (posterior basilar and superior segment) that seemed to be involved within the sequestration. Patient underwent a robotic-assisted left lower lobectomy with mediastinal lymph node dissection for levels 7, 9 and 10 (feature in the video). He had an excellent post-operative course and was discharged on post-operative day 2. Patient is back to his college athletic career and is healing well. Final pathology showed 1.1 cm carcinoid tumor with negative lymph node involvement (pT1bN0) and cystic bronchiectasis. He is now undergoing regular pulmonary surveillance.