Due to the unusual location of these lymph nodes, there was concern that these might represent a more aggressive lesion. The CT was indistinct in evaluating the borders of the lesions. There were additional involved lymph nodes more inferiorly in the right neck and some questionable lymph nodes by CT criteria on the left. Review of her surgical pathology from 2018 confirmed classical papillary thyroid cancer. Her thyroglobulin was 6.0, unstimulated. Stimulated thyroglobulin elevated to 29.3.