We hereby present the case of a young man who had only a focal lung contusion following a low-moderate chest trauma due to a common ball-crash while playing football but presented acutely with massive hemoptysis. He had been followed-up and treated with the diagnosis of emphysema since childhood. Our case illustrates that even a low-moderate blunt traumarelated mild lung contusion may lead to massive hemoptysis. (Tur Toraks Der 2011; 12: 44-6)