Hemoptysis is an important symptom, which can be potentially life-threatening in some cases. Presence of hemoptysis necessitates a prompt and comprehensive evaluation so as to determine the underlying abnormality in the pulmonary parenchyma and/or thoracic vasculature. This would facilitate initiation of timely and accurate management. Mutli-detector row computed tomographic angiography (MDCT angiography) is a non invasive imaging tool, which provides all-inclusive information about the pulmonary parenchyma, airways and lung vasculature, correctly identifies the cause and site of bleeding in majority of the patients and serves as a guide for further management. MDCT angiography an extremely useful imaging modality in initial evaluation of patients with hemoptysis and should be an integral part of preliminary assessment of all such cases.