Context: Medicolegal autopsy results are determined by the pathological examination   hence there is a need to check and consolidate all the factors that contribute in the  interpretation of histology finding. Lung is vital organ in contributing the certain
histologic pattern that can unfold the cause and manner of death. Aims: To note the role of gross and histopathological examination in ascertaining the cause and manner of death in lung autopsy. Setting and Design: Study was conducted in department of Pathology with Forensic department collaboration over the period of one year. It’s a prospective observational study
including 100 medicolegal autopsy cases taken. mAteriAl And method: Gross examination followed by histopathological examination
on hemotyxilin and eosin stained slide of lung tissue were done. Special stains were used  wherever required and findings noted. All variable were correlated using Chi-squared test, Fisher’s Exact and Kruskal Wallis and strength of association with Kendall’s Tau,
Chi-squared test, Cramer’s V statistical tools. results: Majority of cases were in between 20-39 yrs with male predominence. Most common  gross finding was congestion followed by consolidation. In histology pulmonary edeme followed  by pneumonitis were noted. Most frequent cause of death was brain injury followed by septicemia and manner of death was accidental followed by natural. There was significant assocaition   observed between histopathology and age as    well as in between gross finding with cause and  manner of death. ConClusion: Gross finding coupled with   microscopy can link in the detection of  cause and manner of death.