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Image Challenge This 63-year-old man with a 10-year history of progressive neck enlargement noted a sudden increase in the size of the swelling on the left side.

This 63-year-old man with a 10-year history of progressive neck enlargement noted a sudden increase in the size of the swelling on the left side.

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Question

This 63-year-old man with a 10-year history of progressive neck enlargement noted a sudden increase in the size of the swelling on the left side. What is the most likely diagnosis?

Superior vena cava syndrome

Scrofula

Bleeding into a thyroid nodule

Non-hodgkins lymphoma

Follicular thyroid carcinoma

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