A 46-year-old smoker patient, with a medical record of pulmonary tuberculosis successfully treated in 2018, complained of dry cough and chest pain four months before his presentation to our department. He was admitted with positive acid-fast bacilli in sputum. CBC showed anemia (hemoglobin = 9.4g/dl). He tested negative for COVID-19. Two days later, he presented with massive hemoptysis; blood loss of more than 250ml. Physical exam showed tachycardia (pulsation = 120bpm) and hypotension (blood pressure = 80/50). Laboratory investigation detected hemoglobin fall (Hb = 8g/dl). He was rapidly transferred to the intensive care unit where he was transfused. He received catecholamine and intravenous hemostatic agents. CTPA confirmed a left lower lobe aneurysm (Fig. 2). He underwent emergent glue embolization of the aneurysm and remained stable without further hemoptysis. He was treated successfully with antituberculosis drugs for six months. He had no further episodes of hemoptysis.