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We report a 64 year-old male, living in a rural area, with a historyof a thyroid nodule subjected to a fine needle aspiration 18 years ago. He consulted this time fora goiter associated to dyspnoea and dysphagia. A chest X-ray and a neck CAT scan showed acalcified nodule in the superior mediastinum of thyroidal origin, that displaced airways andblood vessels and a small thyroid nodule of uncertain origin. A thyroid scintigram showed acold right thyroid nodule. The patient was operated, performing a subtotal thyroidectomy. Acalcified nodule measuring 8x6x6 cm and another nodule measuring 10 mm were foundduring the surgical exploration. The pathological examination of the surgical piece disclosed acalcified hydatic cyst and a focal nodular hyperplasia. The patient remains asymptomatic sevenmonths after surgery (Rev Med Chile 2008; 136: 896-9).(

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