You are already at the latest version Subungual tumors are rare and often misdiagnosed, leading to unnecessary procedures or delayed treatment; thus, accurate identification of benign neoplasms such as fibrolipoma is essential to guide appropriate management. We report a 59-year-old man who presented with a several-year history of a painless subungual mass of the right great toe with progressive nail thinning and onychodystrophy. Imaging demonstrated soft-tissue swelling without bone involvement.