DISCUSSION: The earliest case of pleuro pulmonary myxoma was reported by Barkley and Cardozo1 in 1957 where they described a 54 year-old female active smoker who had presented with a consolidation and after treatment was found to have a left sided rounded opacity. She underwent thoracotomy due to increasing size on the radiograph and was found to have multiple pleural based lesions and a bigger 3 cm mass in the lingula which was resected. This was shown to be made up of benign myxomatous tissue on histology. In addition to pleuro pulmonary myxomas, there are case reports describing myxomas arising in the pulmonary artery, trachea2 and endobronchially. The differential diagnosis for a myxoma can be myxoid liposarcoma, myxoid chondrosarcoma, myxoid malignant fibrous histiocytoma, pulmonary hamartoma, angiomyolipoma and pulmonary lipoma. From these case reports it is observed that the myxomas tend to increase in size with time and are prone to recur after resection. Cases where complete resection was done had no recurrence during the documented follow up period.