CASE PRESENTATION: A 91 year old male ex-smoker, with history of prostate cancer was referred for evaluation of a tracheal mass noted on chest CT. He was unable to expectorate sputum for months, associated with mild dysphonia. He denied exertional dyspnea, wheezing or stridor. He had no significant occupational or environmental exposures. His physical examination and laboratory testing were unremarkable. A CT scan of the neck showed a 15 x 11 mm mass arising from the left lateral wall of the trachea, about 3 cm below the vocal cords. Direct laryngoscopic examination was unremarkable. Chest CT did not show any evidence of tumor extension or metastasis. A rigid tracheoscopy showed a sessile tumor occluding 75% of the proximal tracheal lumen. Mechanical coring of tumor was performed. Histopathology revealed cartilaginous lesion compatible with low grade chondrosarcoma.