Pulmonary epithelioid hemangioendothelioma (PEH) is a rare low-grade malignant vascular tumor of minimal clinical expression in young women. Bilateral multiple pulmonary nodules, up to 2 cm in size, are typical CT findings. We describe an atypical case of PEH with a fatal outcome in a 65-year-old male, showing multiple pulmonary nodules with a typical CT halo sign by pulmonary hemorrhage.