A 71-year-old never-smoker Caucasian man...A biopsy from the lung mass revealed poorly differentiated adenocarcinoma of lung primary...Immunohistochemistry (IHC) for PD-L1...demonstrated tumor proportion score of 100%... Next generation sequencing...revealed KIF5B-RET fusion (4.9% of DNA)...In addition, concurrent TP53 (13.4%) and AR (0.2%) mutations were reported. FISH confirmed RET rearrangement...pembrolizumab...was initiated....Follow-up MRI and CT scan at 6 months after treatment showed a complete response...