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Fig. 2 —62-year-old man (patient 2 in Table 1) who underwent thyroidectomy for rightsided 5.4-cm minimally invasive follicular carcinoma presented 29 months after initial surgery with vague palpable abnormality. Transverse sonogram of left neck shows ill-defined lesion measuring 14 x 14 x 42 mm in left sternocleidomastoid muscle that has central hyperechoic focus (arrow). Fine-needle aspiration biopsy was consistent with granuloma. Repeat sonograms (not shown) obtained 19 months later showed no change.