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A rare case of primary parapharyngeal tumor with coincidentally diagnosed contralateral thyroid tumor is being reported here in an adult male who presented to ENT OPD with only complaint of pain during swallowing. Local examination revealed left tonsillar bulge with rest of the examination was within normal limits. Contrast enhanced MRI revealed an intensely enhancing lesion in left parapharyngeal space and coincidentally a small intensely enhancing right thyroid lobe nodule which on USG guided FNAC came out as Follicular neoplasm with Hurthle cell changes. The case is being reported for its rare presentation.

A Parapharyngeal Tumor with Coincidentally Diagnosed Contralateral Thyroid Tumor: A Rare Entity and Diagnostic Dilemma