Branchial anomalies are the developmental anomalies of the branchial apparatus which consist of six mesodermal arches seperated by invaginations of the ectoderm called as clefts. Second branchial arches anomalies are the most common branchial anomalies. There is no gender predilection. These are clinically diagnosed. We present a case of rare bilateral branchial fistula in a young lady with a distinctive emphasis on imaging.