Figure 2:

Small Lymph node on ultrasound detected when thyrogloblulin increased from less than 0.1 ng/mL to 2.8 ng/mL. On transverse view, the lymph node demonstrated loss of a fatty hilum, increased echogenicity, and a rounded shape. FNA revealed recurrent papillary thyroid cancer. LN = lymph node, IJ = internal Jugular Vein, CC = Common Carotid Artery, SCM = sternocleidomastoid muscle