Palpable midline mass in the suprasternal region.
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CT image shows bilateral sternal ossicles. Also in the suprasternal region a well definied rounded lesion with homogeneous liquid inside, no septations or calcifications are identified. There is also no conection to the thyroid gland.
Episternal ossicles are accessory bones that are located posterior or cephalad to the manubrium. They result from supernumerary ossification centers and are seen in less than 2% of the population
Also in this case we identify a suprasternal dermoid cyst. Differential diagnosis included suprasternal dermoid or a thyroglossal duct cyst.