A rare case of thoracoabdominal duplication is reported. Radiological
workup including US, CT and MR provided the correct diagnosis. The US
revealed the cystic nature of the lesions, whereas CT and MR showed th
eir relationship with the diaphragm and each other. Coronal- and sagit
tal-plane MR images were helpful in demonstrating the extension of the
lesions. The patient was discharged after an uneventful surgery and r
ecovery. The histological evaluation revealed the cyst lined with sing
le-layered columnar epithelium and the cyst wall contained submucosal
mucous glands with underlying smooth muscle and also some mature chond
roid elements with bronchogenic origin. Radiological findings and diff
erential diagnosis are discussed.