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Pseudo-aneurysm of lingual artery a branch of external carotid artery is rarely seen. Most of cases of pseudo-aneurysm occur after trauma, surgery, inflammation, post chemotherapy, radiotherapy and infection. Pseudo-aneurysm of lingual artery secondary to lingual carcinoma with oral bleeding is a rare presentation, hence we discuss the CT imaging findings of lingual artery pseudo-aneurysm in a patient with known case of carcinoma of tongue on chemotherapy and radiotherapy presented with oral bleeding.