A middle aged man who recalls a box having fallen on his chest four years ago while on a construction job presented with the development of a “Hump” which had continued to grow. No history of temperature, pain, cough or shortness of breath. On examination there was a large 7 x 8 cm hard immobile mass with diffuse margins in the middle of the upper chest. He was being treated for cold abscess, by general practitioners before his actual diagnosis. Laboratory investigations were unremarkable, except for low Hemoglobin (10.5 mg/dl).