Introduction: Thyroid carcinoma is the most common endocrine malignancy, accounting for 3 % of recent malignancies in world wide. Differentiated thyroid carcinoma constitutes 90 % thyroid malignancies, within that follicular type constitutes 10-15 %.
Clinical Presentation: A 55-year-old female presented with left-sided neck pain and swelling over medial end of clavicle, following normal manual work.