Introduction Bleeding into the bronchial tree Causes include: Bronchitis (50%) Tumor mass (20%) TB (8%) Immune mediated pulmonary-renal syndromes (e.g. Wegner's granulomatosis with polyangitis, Goodpastures anti-GBM Ab, microscopic polyangiitis, Churg-Strauss syndrome) Massive hemoptysis defined as > 600cc / 24hr Presentation Hemoptysis Evaluation CXR Bronchoscopy Bronchial A gram Treatment Moderate: Laser treatement Massive intubation of unaffected side Fogarty occlusion of bleeding bronchus Bronchial Angio gram with/without embolization surgical resection of affected lung if refractory