February 2008	First biochemical evidence of TSH hypersecretion
March 2014	Endocrinology institution referral
October 2014	Initial pituitary MRI scan reported as “normal” Negative genetic testing for THRß mutation
June 2015	Total thyroidectomy for obstructive goiter and suspicious thyroid nodule
August 2021	Ear, nose, and throat surgeon referral for investigation of nasal congestion Nasoendoscopy suggested nasopharyngeal mass
September 2021	MRI head scan identified sphenoid bone mass
October 2021	Resection of sphenoid bone mass and confirmation of the diagnosis of ectopic TSHoma