A medium lava turtle chest is an item in Evony TKR (The King's Return). It can be found after killing certain monsters or bosses, with some of them listed below.
The description of Medium Lava Turtle Chest in Evony TKR says:
Open the package to gain all the items in it.
Medium Lava Turtle Chest is known to drop from a number of bosses or monsters upon killing, including Lava Turtle.
Note: This list may be incomplete.
Medium Lava Turtle Chest opens up to all of the following items: