A34-year-old man presented with a swelling in the suprasternal notch since birth that progressed in size with age. Apart from being a source of embarrassment, the swelling was not associated with any symptom. Clinical examination revealed a 5 5 cm nontender fluctuant subcutaneous swelling in the suprasternal notch. The swelling was brilliantly transilluminant (Fig 1). Preoperative laboratory investigations were normal. Ultrasound evaluation revealed thick-walled cystic swelling of 5.9 2 cm with internal echogenic material seen in the lower neck in midline. With the clinical diagnosis of congenital cyst, the patient underwent the excision of the swelling. Preoperative findings revealed a cystic mass of 4.5 3.5 l.5 cm with congested outer surface containing white gelatinous material. Histopathological examination revealed a cyst wall composed of fibrocollagenous tissue containing few smooth-muscle bundles, lined by ciliated pseudostratified columnar epithelial cells, admixed with goblet cells. Bronchogenic cysts are rare congenital anomalies that are usually located in the mediastinum or lung parenchyma. They are very rare in the neck and are thought to result from abnormal development of the tracheobronchial system. An abnormal budding of the tracheobronchial system between the 22nd and 33rd days of gestation and persistence of such a bud may give rise to bronchogenic cyst. In addition, abnormal migration of a bud may occur during the course of development and rest in different intrathoracic or extrathoracic locations. Maier has classified bronchogenic cysts according to site into paratracheal, carinal, hilar, paraesophageal, and atypical (diaphragm, abdomen, skin, subcutaneous tissue, and supraclavicular region). Most of the cervical bronchogenic cysts are in the midline, usually the upper cervical region. Bronchogenic cysts of the lateral