Fibromuscular dysplasia (FMD) is a rare non-inflammatory, non-atherosclerotic arterial diseasecharacterized by abnormal cellular proliferation and distorted architecture. It commonly affects therenal and extracranial carotid and vertebral arteries, but nearly all arterial beds may be affected,and multivessel involvement is common. We report a rare case of a 31-year-old Filipino femalewho presented with a rapidly enlarging right anterior axillary mass. Initial consideration was ableeding soft tissue sarcoma as seen on chest CT scan, while whole abdominal CT scan withIV contrast revealed incidental findings of multiple aneurysms in the superior mesenteric artery,both renal arteries and right common iliac artery, suggestive of fibromuscular dysplasia. Furthervascular imaging studies showed a looped left internal carotid, and a tortuous left brachial arterywith beading pattern.