A 27-year-old woman with no significant medical history presented to our institution for management of her thyroid cancer. She was initially seen at an outside hospital where she was found to have a nodule in the left thyroid lobe and a metastatic node in the lateral neck, left level II.

The patient reported no radiation exposure to head or neck during childhood, but she had a positive family history of thyroid cancer in two paternal cousins, nontoxic multinodular goiter in her father and sister, hypothyroidism in her mother and hyperthyroidism in her maternal grandmother.