P is the sister of Q. Q is the brother of S. T is the father of X. X is the son of S. How is P related to X?
Mother's sister
P is the sister of Q, and Q is the brother of S, so P, Q and S are all siblings.
X is the son of S, and T is the father of X, making T the spouse of S.
Since P is S's sibling (sister), P is related to X as the mother's sister.
Hence, P is related to X as mother's sister.
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