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Genevieve Williamson, BA; Uma Rao, MD; Eugene N. Myers, MD; Jennifer L. Hunt, MD
University of Pittsburgh Medical Center, Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 2003;129:486.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN 86-YEAR-OLD WHITE WOMAN presented to the emergency department with chest pain and shortness of breath. She also reported a recent history of hoarseness, with the sensation that her throat was "closing up." She had a medical history of hypertension, peripheral vascular disease, left ventricular hypertrophy, transient ischemic attacks, osteoporosis, and hypercholesterolemia. An electrocardiogram showed no evidence of ischemia, and her cardiac enzyme levels were normal. A helical computed tomographic scan was negative for pulmonary embolism but revealed a mass in the left side of the neck, which prompted further evaluation of the thyroid gland.

A fine-needle aspirate from the left thyroid gland revealed cell clusters with the features seen in Figure 1. A computed tomographic scan of the neck with contrast revealed a large mass in the left lobe of the thyroid gland that . . . [Full Text of this Article]

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