Aspergilloma is a mass-like fungus ball consisting of Aspergillus fumigatus. Aspergilloma occurs in patients with pulmonary structural abnormalities in which the presence of a previous cavity is the predisposing factor that most often results in Aspergillus colonization, especially in tuberculosis endemic countries. 28 y.o and  33 y.o female , complained of hemoptysis, chest pain, weight loss, and a history of TB treatment. The chest X-ray and CT scan revealed a solid lesion with an “Air-crescent sign” indicating Aspergilloma lesion. Patients were given symptomatic, anti-fungal drugs, and supported  by embolization procedure to reduce hemoptysis. The patient's condition began to improve after treatment. Imaging findings in x-rays and CT scans that point to Aspergilloma will help doctors in further management to provide a better prognosis for the patient.

Hemoptysis represents one of the most challenging conditions that are potentially life-threatening. Bronchial artery embolization (BAE) is effective method for controlling hemoptysis, but it also has complication risk like nontarget embolization in 0,6-5,5% cases. The Purpose of this case report is to know the complications and early management of embolization procedures, so the radiologist can minimize the complication. Conducting a literature review and medical records. A 33-yo female Aspergilloma patient with moderate hemoptysis treated with embolization. Embolization was performed through cannulation of the right intercostal artery and right costocervical trunk artery. Embolization was carried out with PVA and showed a decrease in supply of 60% -70%. Before finishing the embolization, the patient complained of acute vertigo that showed nontargeted embolization which is probably due to embolism in posterior (vertebrobasilar) circulation. CT and MRI scans showed infarction in the right cerebellum. The patient received ischemic stroke therapy and the patient's condition improved without complaint of hemoptysis and vertigo. Nontarget embolization is complication risk of BAE. The complication rate depends on the the vascular territory, sharp angle of branching, tortuosity, caliber of the artery, and operator's experience. The anatomical location of the costocervical trunk adjacent to the vertebral arteries would be the risk of nontargeted embolization to the areas vascularized by posterior (vertebrobasilar) circulation. BAE is an effective method for controlling hemoptysis, but this procedure has complication risk. Imaging of anatomical pathologies, multidisciplinary team planning, and increasing competence can minimize complications of embolization procedures.