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Clinical Problem Solving: Pathology
January 2013

Pathology Quiz Case 1

Author Affiliations


JAMA Otolaryngol Head Neck Surg. 2013;139(1):87. doi:10.1001/jamaoto.2013.1125a

A healthy 2-year-old girl underwent a computed tomographic scan at an outside hospital during a routine trauma workup. She was referred to the otolaryngology clinic because of an incidental finding of a hypodense, homogeneous thyroid lesion (Figure 1). She did not have any associated symptoms, such as swelling, pain, drainage, hoarseness, or dysphagia. On physical examination, no cervical masses or lymph nodes were palpated. Laboratory results (triiodothyronine, thyroxine, thyroperoxidase antibody, and thyroglobulin antibody) were within normal limits.