We present a case of pulmonary sclerosing hemangioma with multiple involvements. Pulmonary sclerosing hemangioma is a relatively rare neoplasm. Although it is thought to be benign, cases with lymph node metastasis or multiple pulmonary involvement have been reported in clinical settings. To date, no case has been reported with mortality due to sclerosing hemangioma, however its clinical characteristics of multiple spread and lymphnode metastasis have not yet been elucidated.