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Background: Solitary pleural fibrous tumours of the diaphragm are rare and can be a diagnostic dilemma. Case presentation: A 49-year-old female presented to our clinic with a history of chronic cough with associated difficulty in breathing. Chest findings were dull percussion notes as well as reduced breath sounds on the left lower lung zone. Chest CT scan showed a left-sided intra-thoracic density with compression of the left lower lung lobe. She had a thoracotomy with the excision of a left diaphragmatic pleura tumour. Conclusion: This case intends to highlight that, though primary diaphragmatic pleura tumours are rare, they may present with non-specific symptoms and should be considered in evaluating patients with intra-thoracic tumours.