Bronchioloalveolar cell carcinoma is known to have several presentatio
ns. We present a case of a patient with a solitary nodule in the upper
lobe who had an episode of hemoptysis one week prior to lobectomy. Bl
ood clots were removed from the lower lobe bronchus at surgery. Seven
months later, the patient was documented to have recurrence in the low
er lobe with computed tomographic scan and pathologic findings consist
ent with endobronchial spread of tumor.