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A female college student presented to the hospital with a recent history of a slowly enlarging, painless mass in the anterior part of the neck. Thyroid function test results were within normal limits, and aside from cosmetic disfigurement, the patient was asymptomatic. A fine needle aspiration of the right thyroid revealed a colloid nodule with rare Hurthle cells. A right thyroidectomy was subsequently performed. On gross examination, the right thyroid gland weighed 15.0 g and measured 5.5 3 3.0 3 2.5 cm. The cut surface revealed a well-circumscribed, red-brown, cystic nodule that measured 1.7 cm in maximum dimension. A small red-purple ovoid nodule was identified attached to the inferior aspect of the thyroid gland, measuring 0.7 3 0.5 3 0.2 cm. This nodule appeared grossly consistent with a normal inferior parathyroid gland. Microscopically, the cystic mass of the thyroid showed follicles of variable size and shape with distinct lymphocytic aggregates representative of an adenomatous nodule arising within a lymphocytic thyroiditis. Interestingly, sections from the presumed parathyroid gland turned out to

Adult ectopic thymus adjacent to thyroid and parathyroid.