A 39-year-old woman presented with a 6-year history of a progressive mass in the anterior aspect of her neck, with a recent acceleration in growth and the development of local tenderness. She described mild dysphagia but had no stridor, shortness of breath, weight loss, or fever. Physical examination revealed a 7-cm, mobile, midline mass in the submental region, without overlying skin abnormalities. The oral cavity and the oropharynx were unremarkable. There was no evidence of palpable adenopathy. The thyroid gland was normal to palpation.
Gaddikeri S, Chapman PR. Radiology Quiz Case 2. JAMA Otolaryngol Head Neck Surg. 2013;139(1):95. doi:10.1001/jamaoto.2013.1159a