Hybrid lung lesions are a rare entity which consists of congenital lung malformations with both cystic and solid components also with vascular supply consistent with bronchopulmonary sequestration. In view of the peculiar behavior of this lesions, there is no clear cut gold standard guideline on its investigation nor management techniques. We reported case of a 6 year old boy with a hybrid lesion consisting of an intralobar pulmonary sequestration associated with a type II Congenital Pulmonary Airway Malformation (CPAM) who presented as a case of complicated pneumonia. The lesion was diagnosed via a Contrast Enhanced Computerized Tomography (CECT). Child underwent a thoracotomy and left lower lobe lobectomy and histopathology examination confirmed our diagnosis. A literature review showed our case to be the first case of a hybrid lesion in a child reported in Malaysia.