Aims & Objectives: To describe the role of imaging in midline swelling of neck in addition to pathological correlation, To aid the clinician in diagnosis of midline swelling of neck and to assess the benignity of the lesion.

Materials and methods: 52-year-old female patient with complaints of midline swelling in neck since 2 months which has gradually progressed in size and was referred to the Department of Radiology for further evaluation. Ultrasonography and contrast enhanced computed tomography of neck were performed and the imaging features were recorded. The imaging features and final diagnosis were documented in a structured case record form.