Case 3: A 28 year old male patient who was treated for pulmonary tuberculosis two years back, complained of recurrent mild haemoptysis which aggravated in the last 10 days. He also complained of cough with evening rise of temperature for 20 days. On physical examination, patient was conscious and alert with maintain vitals with no cyanosis, clubbing, icterus or pedal oedema. Laboratory investigations were within normal. Computed tomography demonstrated fibrotic opacities with varicose bronchiectatic changes in entire left upper lobe with volume loss and ipsilateral mediastinal shift. A thick walled cavity measuring ~35 x 20mm was noted in left upper lobe with soft tissue density within. Few patchy fibrotic opacities were also noted in apical segment of right upper lobe. On angiography a small aneurysmal dilatation of segmental branch of left pulmonary artery was noted, coursing along the cavity. Multiple other tortuous dilated vessels were also seen surrounding the cavity. Sputum and culture for TB mycobacteria were positive. He was treated successfully with antitubercular drugs for six months. He had no further episodes of haemoptysis (Fig. 1, Fig. 8, Fig. 9, Fig. 10).