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Fig. 4 55-year-old man (patient 4 in Table 1) who had thyroidectomy for right 4-cm follicular variant of papillary carcinoma. Four years earlier patient had granuloma resected from right neck. Five years after thyroidectomy, patient noted left-sided neck lesion. Sonogram shows complex lesion (electronic calipers) measuring 7 x 13 x 16 mm in left sternocleidomastoid muscle that has central markedly echogenic focus surrounded by hypoechoic zone.





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