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A young female presented to us with chest complaints of 10 months duration. Imaging was done which revealed fat attenuation mass lesion in the mediastinum occupying both
Accepted hemithoraces. Provisional differential diagnosis of giant teratoma, mediastinal thymoli-poma, large pleural lipoma or a pulmonary lesion with effusion was kept. Patient under-went surgery, mass was resected and the patient discharged in good condition.