A pleuro pulmonary blastoma (PPB) is a very rare and aggressive malignant tumour of lung in infants and children. Varying clinical and radiological presentation of pleuro pulmonary blastoma has been described. In this report, we are reporting an infant who presented with respiratory distress due to large bullae of the left lung and diagnosed to have pleuro pulmonary blastoma of the lung. bleeding. However follow-up is required to ensure complete resolution of the haemorrhage and to rule out a true adrenal mass. We report a case of unilateral adrenal haemorrhage secondary to motor vehicle accident.