Bronchogenic cysts are rare developmental anomalies, seen primarily in the pediatric population. Cutaneous manifestations of bronchogenic cysts are still rarer. This lesion poses diagnostic challenge for the clinicians and in almost all, histopathological examination gives the precise diagnosis. We report a case of presternal cystic lesion in 11 year old boy, clinically diagnosed as dermoid cyst, however the lesion was suggestive of cutaneous bronchogenic cyst on histopathology.