Sandbox:DDx HEENT
- Childhood
- Painless, rounded, anterior midline neck swelling
- May have difficulty breathing or dysphagia
- Smooth, cystic, and fluctuant neck lump
- Elevates on tongue protrusion
- Normal T3, T4, and TSH
- Thin walled, smooth, well defined homogeneously attenuating mass
- Within 2cm of the midlines
- Light rim of enhancement
- Sternocleidomastoid muscle displaced posterolaterally
- Colloid, neutrophils, lymphocytes, macrophages, and ciliated columnar cells on FNA
- Variable epithelial lining, thyroid follicles, mucous glands, lymphocytic infiltration, granulation tissu, and fibrosis on FNA