Background:A comprehensive autopsy involves the inspection of the three primary body cavities: the cranium, thorax, and abdomen. Hence, the present study was conducted for evaluating the prevalence of lung lesions at autopsy. Materials &Methods:The study encompassed a total of 200 cases that underwent medicolegal autopsy during the specified timeframe, regardless of age or sex. Among these, 53 cases involved lung autopsy samples. Each autopsy was conducted by a forensic expert. Lung tissue samples were preserved in 10% formalin and subsequently sent to department, accompanied by relevant history, clinical details, and gross findings. All histological sections were stained using Hematoxylin & Eosin and mounted for evaluation of the results. Results:A total of 200 cases were evaluated. The mean age was 46.9 years. 53.5 percent of the cases belonged to the age group of more than 40 years. Lung pathologies were seen in 26.5 percent of the cases. Congestion and oedema, changes in interstitial, pneumonia, emphysematous changes and acute respiratory distress syndrome wereseen in 22.64 percent, 15.09 percent, 24.53 percent, 11.32 percent and 26.42 percent of the cases. Conclusion:The histopathological analysis plays a crucial role in determining the definitive cause of death. This investigation emphasizes the presence of various lung lesions, which may be classified as either incidental findings or direct contributors to mortality.