Cystic hygromas are benign cysts frequently discovered incidentally on
chest X ray films. Although CT scan provides helpful information abou
t the size, density, and site of the cysts, it cannot establish a prec
ise diagnosis concerning its nature. Complete removal of the cyst is t
he treament of choice, and allows precise diagnosis on histological ex
amination. However. surgical excision is sometimes difficult, due to t
he size end extension of the cysts, infiltrating mediastinal planes, e
nveloping great vessels, displacing mediastinal organs without invasio
n. The difficulty of completely eradicating certain cysts explains cas
es of insidious progression with compressive recurrence.