RIU 430 Lecture Notes - Lecture 4: Thyroglossal Cyst, Branchial Cleft Cyst, Dermoid Cyst
3 Dec 2020
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She stated that it had been enlarging over the past four months. Upon physical examination, a soft compressible mass at the level of the hyoid bone was observed. She noted a mild globus sensation described as fullness when swallowing and a change in voice while singing. Thyroid laboratory values were all within normal limits. A fiber-optic laryngoscopy was performed to examine the patient"s throat and larynx, with normal results. Sonography was ordered to further evaluate the palpable mass. A sonogram of the neck was done using a philips iu-22 ultrasound system with a 12-mhz linear array and an 8-mhz curved linear transducer. Ample gel was used as a standoff pad to image the superficial palpable area of fullness. A midline cyst was observed with a lobulated component that extended posteriorly toward the vocal cords. The cyst was anechoic with echogenic floating debris and was located anterior to the hyoid bone.
