60 year old lady came for evaluation of a midline neck swelling. Clinical examination revealed a possible thyroid mass arising from isthmus Fine needle aspiration of the mass revealed suspicious nuclear grooving and hence she was advised surgical removal of thyroid. She also complained of a swelling over her left cheek since the last ten years. The swelling was insidious in onset, non tender, slow growing. On palpation the lesion was deep to skin and muscle and was hard, fixed to bone. A CT head and neck was advised as a screening prior to surgery and to further evaluate the bony lesion.