Background Papillary thyroid carcinoma is a type of well differentiated cancer showing fair response to iodine ablation therapy. Mainly it spreads into nodes and mediastinum however other areas of metastases include lungs and bone. Case presentation: Female of 54 presented with soft partially mobile lumps in skull and back, associated with chronic pain. These painless lumps were declared lipomas due to their soft consistency on clinical examination, by the local practitioners for last three years. But detailed radiological investigations by tertiary care hospital, followed by FNAC, showed papillary variant of thyroid cancer with metastatic lytic deposits. Conclusion: Clinical examination of all suspicious lumps should be followed by radiological correlation and tissue diagnosis so that patients may avoid future complications.

Keywords: Case report, Pappillary Thyroid Cancer, pseudo-lipomas