Lisp is very useful for creating little DSLs. I've got a copy of Lisp in a Box running at work and I've written little DSLs to interrogate SQL server databases and generate data layers etc in C#. All my boiler plate code is now written in lisp macros that output to C#. I generate HTML, XML, all sorts of things with it. While I wish I could use Lisp for everyday coding, Lisp can bring practical benefits.