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Infection with Human Immune deficiency Virus (HIV) is relatively uncommon. Such infection predisposes its host to a plethora of infectious, inflammatory, and neoplastic diseases. Kaposi Sarcoma (KS), a vascular malignancy with a mucocutaneous predilection, is the most strongly linked neoplasm to HIV infection. The thorax is among the common victims of KS, with involvement of lung parenchyma, lymph nodes and pleura. This is an instructive case report of the spectrum of thoracic involvement in KS.