(BAL) a method of obtaining cellular material from the lungs that is used particularly in the investigation and monitoring of interstitial lung disease and in the investigation of pulmonary infiltrates in immunosuppressed patients. A saline solution is infused into the lung, via a bronchoscope, and immediately removed. Examination of the cells in the lavage fluid may help to identify the cause of interstitial lung disease. The combination of cytological and microbiological examination can lead to a very high rate of diagnostic accuracy in such conditions as *Pneumocystis jiroveci pneumonia.