“…1,4 Also known as Multiple Symmetrical Lipomatosis, it is manifested by large fatty masses, not encapsulated and painless, with a symmetrical distribu- tion involving the head, neck and shoulder areas. 1,4,5,8,9 When the mediastinum is involved, complications related to a mass effect may occur. 1,4,8,9,10 Our patient presented involvement of the cervical region up to the sternal notch, without involvement of the mediastinum.…”