The World Health Organization (WHO) defines pneumonia as a form of acute respiratory infection that affects the lung parenchyma and oxygenation. Diagnosis is based on clinical appearance confirmed by a chest X-ray (CXR) showing consolidation. The authors describe a patient who presented with a chief complain of an attack of dizziness and near syncope. Patient presented with headache, low-grade fever, non-productive cough and chest tightness. He was tachycardic with normal blood pressure and oxygen saturation (O2Sat) 97%. His ECG Showed S1Q3T3 pattern with a concern for pulmonary thromboembolism (PE) which prompt obtaining chest CT scan with IV contrast didn’t reveal pulmonary thromboembolism but showed a right-sided consolidation. Patient’s EKG findings resolved after treating pneumonia. This case demonstrates the cardiac electrographic findings of S1Q3T3 can be seen in patients with lobar pneumonia.