Case presentation A 44-year-old male presented to the ENT outpatient department with a 10-year history of midline neck swelling. It began as a small lump and progressively enlarged over time without causing any discomfort.
He denied any history of fever, pain, additional swellings, difficulty swallowing or breathing, earache, or nasal discharge. Physical examination Single spherical swelling of 2 cm x 2 cm in size, well-defined edges, and smooth surface Swelling moved with deglutition but not with protrusion of the tongue No visible pulsations, cough impulse, or pigmentation of overlying skin On palpation: Non-tender, cystic, spherical swelling measuring 2 cm × 2 cm × 1 cm Ultrasound findings Exophytic lobulated cystic lesion in the infra-hyoid region Lesion separate from the thyroid gland, with fine internal echoes Fine Needle Aspiration Cytology (FNAC) Benign cystic lesion MRI of the…
