A 62-year-old female never-smoker presented with dyspnea, cough and fatigue. Patient has a performance status of 1 due to the decrease in her daily activities. Chest X-ray showed multiple bilateral lung nodules. PET/CT showed left adrenal metastases. Brain MRI was negative. Bronchoscopy was performed with a fine needle aspirate biopsy. Pathology results showed moderately differentiated adenocarcinoma. Molecular testing showed ALK-rearrangement. Patient was started on ceritinib.