Bronchiectasis is defined as the dilatation of the bronchial walls of the lungs resulting from chronic airway infection, leading to structural damage to the lung tissue. The aim of the present study is to evaluate the association of pulmonary hypertension with the radiological profile of patients with bronchiectasis in a tertiary care hospital in South India. A hospital based prospective cross sectional study was conducted in Department of Respiratory Medicine, Chettinad Hospital & Research Institute for which 63 patients having bronchiectasis were recruited. The study revealed that there was a strong positive correlation between the radiological distribution (unilateral/bilateral) and the radiological severity (lobe involvement) of bronchiectasis with pulmonary hypertension with statistical significance (p = 0.001 and p = 0.000, respectively). Hence, it can be concluded that there is a direct relationship between the presence of pulmonary hypertension and the radiological severity of bronchiectasis.