The sixth clinicopathological meeting of the Triple-O departments (Oral Medicine and Radiology, Oral and Maxillofacial Surgery, Oral Pathology and Microbiology) was held on 29th February 2024. A clinical case with a unique and atypical presentation was described by Dr.Nandhini Devi (postgraduate student of Oral Medicine). Histopathological details were exquisitely articulated by Dr.Sri Chinthu (Professor, Oral Pathology). Further investigations needed and various treatment options were explained by Dr.S.Chandra Mohan (Professor and Head, Oral and Maxillofacial Surgery). This meeting was attended by 45 faculty members, 40 postgraduates and 99 CRIs from various departments.