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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.