A woman in her 60s presented with bilateral thyroid nodules discovered by her endocrinologist 2 weeks prior to being referred to an otolaryngologist. Her medical history was remarkable for hypertension, hypercholesterolemia, depression, and gastroesophageal reflux disease. She had a history of smoking but quit in 1998. She had throat discomfort and coughing episodes but denied any fevers, chills, dysphagia, odynophagia, constitutional symptoms, and previous radiation exposure.
Trujillo O, Narula N, Ginter P, Kacker A. Bilateral Thyroid Nodules . JAMA Otolaryngol Head Neck Surg. 2014;140(4):381-382. doi:10.1001/jamaoto.2013.6712