Mediastinal tumors in children contain a heterogeneous group of lesions and information of the exact area of the tumor within the mediastinum facilitates the prognosis. A contemporary CTbased definition of mediastinal cubicles has been developed with the aid of the International Thymic Malignancy Interest Group (ITMIG). The ITMIG category machine separates the mediastinum into three compartments: pre-vascular (anterior), visceral (intermedium) and paravertebral (posterior) [2,3]. Lymphomas and leukemias are the most commonplace neoplasms discovered inside the prevascular compartment, accompanied with the aid of Germ Cell Tumors (GCTs). Visceral compartment abnormalities consist of generally lymphadenopathy associated with lymphoma or leukemia. Tumors of the visceral mediastinum are hardly ever seen in isolation and are often located in affiliation with anterior mediastinal disorder. Finally, the paravertebral compartment is the maximum common area for neurogenic tumors. Childhood mediastinal tumors are localized to the paravertebral mediastinum in fifty two% of cases [2-6]. Mediastinum compartmentalisation assist to slender the differential prognosis of newly detected mediastinal tumors, however it could be difficult to localize a unexpectedly developing tumor to its anatomic compartment because can spread from one area to some other or contain the entire mediastinum [1,7]. Children are frequently asymptomatic and therefore mediastinal tumors gift as incidental findings on radiographs.