The term chylothorax refers to the presence of lymphatic fluid (chyle) in the pleural space secondary to leakage from the thoracic duct or one of its main tributaries1 The most common causes are thoracic trauma of surgical or nonsurgical origin, neoplasms (most commonly lymphoma), and some infections, including tuberculosis .This is a case report of an unusual presentation of pleural effusion in a patient 67 yr old diagnosed case of CLD presenting with chest heaviness & complaint of breathlessness since 1 week on investigating he had massive pleural effusion which n drainage seemed as if it was empyema which on further investigations revealed out to be chylous effusion we concluded that in a patient of CLD or cirrhosis a differential diagnosis of chylothorax should be kept in mind and conservative treatment approach can opted for treatment in form of MCFA diet and Injection Octreotide in a tolerable dose.