$re = '/\[((?:(?!img).)*?)\](?:.*?)\[\/\1\]|\[img.*\](.*?)\[\/img\]/mi';
$str = 'Hello, this is an example: [img]yyy[/img] - Yay!
[tt]this is a test [img]xxx[/img] [a]stuff [/a] yolo![/tt]';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php