Thyrotoxicosis factitia is not very uncommon. There is a high likelihood of it being missed in our day-to-day clinical practice which can lead not only to significant patient morbidity but also put burden on health-care resources. We report a case masquerading as refractory thyrotoxicosis diagnosed to have uncontrolled hyperthyroidism.

chylothorax is a relatively uncommon condition. It is characterized by the presence of chylous rich fluid within the pleural space. Spontaneous chylothorax usually refers to non-traumatic causes most common malignancy and infections. we present a case of a spontaneous chylothorax with evidence of resolution of pleural effusion without detectable cause.