Objective: To assess the role of MDCT chest with bronchial and pulmonary angiography in determining the cause, site of bleeding, and its vascular origin in patients presenting with hemoptysis. Materials and methods: Fifty patients suffering from hemoptysis were evaluated by MDCT with bronchial and pulmonary angiographic techniques. Results: MDCT chest with angiography revealed the cause in 84% of cases, the site and vascular origin in 76% of cases presenting with hemoptysis. Conclusion: MDCT of the chest with bronchial and pulmonary angiography is considered a primary noninvasive imaging modality in the evaluation of patients with hemoptysis. It also serves as a guide for other diagnostic or therapeutic procedures.