Carcinoids synthesize peptides and bioactive amines that can give rise to clinical syndromes. These secretions are metabolized in the liver. GI carcinoids account for 74% and respiratory carcinoids account for 25% of all carcinoids. The rest accounting for 1%. The presenting complaints in a carcinoid tumor are varied. As a consequence it presents diagnostic difficulties to both clinicians and pathologists.We present a case of a 60 year old man who presented with ascites and on subsequent work up, was diagnosed to have a malignant ileocecal carcinoid with chylous ascites and left supraclavicular lymph nodemetastases. This case is being presented to highlight the unusual presentation of carcinoid, like chylous ascites and left supraclavicular lymph node metastasis. It also brings to the fore the role of FNAC in diagnosis, especially of lesions which cannot be easily biopsied.