Though recurrence of thymoma is rare, yet pleural dissemination has been described by few authors. We present a 37 year old patient who was diagnosed as thymoma WHO classification type B3, stage III on Masoaka staging and underwent complete thymectomy. Two years later she presented with recurrent myasthenic symptoms.On evaluation a pleural nodule was identified .CT guided fine needle aspiration suggested a recurrence.Asrecurrence is rare and no definitiveguidelinesregarding therapy; cytological morphology would be of great help in recognizing recurrence. This would also serve to reduce the requirement of thoracoscopic surgery and its related mortality and morbidity.