CASE PRESENTATION: 58 year old female with history of DM, old TB (since 17 year old, completed treatment) presented to hospital with hemoptysis for 2 weeks. Patient was here to visit her family from Morocco. She has had hemoptysis with minimal blood for 2 weeks. She had a similar episode 3 years ago but did not seek medical attention. She denied fevers, chills, night sweats or weight loss, no chest pain or shortness of breath. CXR showed mild soft tissue prominence within the right perihilar region and bronchiectasis within the right upper lobe. CT chest showed obstruction of right upper lobe bronchus at the level of the hilum with postobstructive fluid filled bronchiectasis, 6 mm calcified broncholith at the level of the right hilum. She was treated with ceftriaxone and azithromycin. Sputum AFBs were negative. Patient underwent diagnostic bronchoscopy which revealed a large broncholith obstructing bronchus at subsegmental level which was extracted. Patient was doing well after procedure and had no more hemoptysis.