Abstract

A 46-year-old woman was referred for consultation for a thyroid problem. She has been aware of a lump in the left side of her neck since childhood, as described in her pediatrician’s notes (since she was 5 years of age). This situation was not further evaluated until recently, when she underwent chest imaging (computed tomographic scanning) during a respiratory infection, which yielded a report of right thyroid lobectomy. The patient, however, had undergone no prior surgical procedures in the neck. She had no symptoms of hyperthyroidism or hypothyroidism, nor did she have compressive symptoms in her neck. Results of thyroid function tests were normal. Thyroid ultrasonography was ordered (Fig. 1). What is the diagnosis?

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