CASE PRESENTATION: 58 year old male with history of orthotopic liver transplant in 2012 for hepatocellular carcinoma (HCC) secondary to hepatitis C infection (HCV), with post-transplant recurrence of the HCV, admitted to our institution with submassive hemoptysis. Computed tomography (CT) of the chest showed mediastinal lymphadenopathy with bilateral pulmonary nodules. The patient underwent bronchoscopy and endobronchial ultrasound with fine needle aspiration (FNA) of the subcarinal lymph node. He was found to have two polypoid, friable, non-obstructive endobronchial lesions with spontaneous bleeding in bronchus intermedius and right middle lobe respectively. Successful hemostasis was achieved with Argon Plasma Coagulation (APC). FNA cytology of the subcarinal node showed polygonal tumor cells with large round nuclei, prominent nucleoli and abundant eosinophilic cytoplasm, as well as focal bile production consistent with metastatic HCC. The patient was started on Sorafenib and radiation therapy shortly after the diagnosis was made.