19 y.o male previously healthy non-smoker, landscape worker with history of hemoptysis. Radiological evaluation revealed Left Lower Lobe abnormality. CAT scan revealed cavitary lesion in LLL associated with several satellite nodules. Bronchoscopy non-diagnostic. Referred for surgical evaluation. VATS Lower lobectomy recommended. After positioning in Right Lateral decubitus position 4 1.5 cm ports made over left hemithorax. VATS exploration confirmed abnormality in Lower Lobe. Inferior ligament divided. Inferior pulmonary vein isolated and divided using linear endovascular stapler. Major fissure identified and using an endo GIA II 60 mm. stapler a VATS Left Lower Lobectomy performed. The specimen placed in a bag and delivered out. VATS inspection shows stapled resection line is both haemostatic and pneumostatic. Remaining upper lobe re-inflated. Chest tube removed 20 minutes post operatively. Discharged home POD 1. Pathology revealed a cavitary aspergilloma and Cryptococcus infection in other nodules.