Metsovo lung was an epidemic lung disease resulting from domestic asbestos exposure in Metsovo area of northwestern Greece, that declined after white wash ceased to be used after 1985. This exposure to thin tremolite fibers caused an epidemic of malignant mesothelioma and benign pleural calcifications in almost 80% of those above 70 years of age. A case of Metsovo lung in an asymptomatic Albanian older woman that lived in an area outside Metsovo is described, along with thoracic ultrasound and elastogaphic findings that were compatible with a benign domestic eposure to asbestos.