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I saw someone id as a transmasculine cis woman, how would that work?

they could be a dysphoric cis individual (DCI), cissex transgender (cistransen) or transsex cisgender (transcisen) person, varsexgender.

check this definition from the user neopronouns and these definitions from BMPF.

that said, I will explain a bit. GNC (gender non-conforming) people, including cis people, can go through HRT (hormone replacement therapy) or mastectomy, women may use testosterone.

a transsex cisgender individual, for example, could use transmasculinity to express their corporeal/social transition or body plan, while still experiencing their assigned gender.

a transgender cissex individual could be pronoun/name/language non-conforming (i.e. preferring masculine terms, being crossnominal, crosspronominal, or transnominal/transpronominal) while not willing to medically transition (transine).

one could have a masculine-female gender identity (some use azurgirl) or alignment (such as phoeselenian). this example could be a form of integragender (cistrans) experience. as a result, someone can have a masculine-female sex identity/alignment (mulladic/lunaradic (selenadic/seleniadic) phoebadic (or phoebiadic?))

another way is being evenic/cusper. however these are only forms of explaining/exemplifying how they could feel. this could be more complex than that that someone could be different.

edit: other common reasons are multigender, system member plurality (psychological), and intersexness