Triple ectopic thyroid: A rare entity
16-year-old female presented with an anterior mid-line swelling in front of the neck since childhood. The swelling was gradually increasing in size and moves with deglutition.\nShe was investigated and Ultrasonography (USG) neck was performed, which suggested right paramedian neck mass measuring 26 × 16 × 13 mm. Dermoid Thyroglossal cyst. Fine needle aspiration cytology (FNAC) was performed suggestive of cystic changes.\nPatient was referred to Nuclear Medicine Department for further evaluation of the patient.\nPatient was injected 5 m Ci of Tc 99 m Pertechnetate and static images were acquired after 10 min. Initial static images showed avid tracer uptake at the base of tongue and in clinically palpable nodule at the level of hyoid and another small focus of tracer uptake in mid-line just above the clinically palpable nodule [Figures –].\nMarker images were acquired. Lateral images were acquired to localize another focus of tracer uptake, which showed the tracer uptake along the line of descent. Patient was asked to drink water and images were acquired to exclude possibility of esophageal tracer uptake. Post-water drinking images showed persistent tracer uptake in suprahyoid location.\nComputerized tomography (CT) scan of the patient was performed.\nThyroid function test dated: 5/08/10\nT3: 1.28 ng/ml\nT4: 7.65 ug/dl\nTSH: 3.30 u IU/ml\nAntibodies: Thyroid peroxidase (TPO) anti-body: Positive 11.4, ANA-Anti Nuclear Ab: N: negative.