case_images: PMC11075674_01
case_images: Anterior (A) and lateral (B) neck view of the patient with thyroid gland abscess.
case_images: IMCRJ-17-409-g0001.jpg
case_images: PMC11075674_01_IMCRJ-17-409-g0001.jpg
case_images: f0001
case_images: It measured 15x13 centimeters, extending from the sternum to the submental area, but had no retrosternal extension on either palpation or percussion (Figure 1).
case_images: Rigid bronchoscopy of the patient showing nearly closed glottis before intubation.
case_images: IMCRJ-17-409-g0002.jpg
case_images: PMC11075674_01_IMCRJ-17-409-g0002.jpg
case_images: f0002
case_images: No visible infiltrative mass was noted to the level of the airway evaluated (Figure 2).
case_images: Bedside neck ultrasound of the patient showing hypoechoic lesion in the right lobe of the thyroid gland as depicted by the arrow.
case_images: IMCRJ-17-409-g0003.jpg
case_images: PMC11075674_01_IMCRJ-17-409-g0003.jpg
case_images: f0003
case_images: Neck ultrasound showed a homogenously hypoechoic avascular midline ovoid mass more on the right, with posterior acoustic enhancement measuring 13x10.7 cm, and a significant mass effect on the cervical esophagus and trachea (Figure 3).
case_images: Head and neck post-contrast CT scan of the patient. (A) axial view of a huge thyroid abscess more on the right side as depicted by the red arrow; (B) coronal view of the same lesion causing lateral compression of the trachea and esophagus; (C) sagittal view of the same lesion.
case_images: IMCRJ-17-409-g0004.jpg
case_images: PMC11075674_01_IMCRJ-17-409-g0004.jpg
case_images: f0004
case_images: The lesion displaced right-side vascular structures postero-laterally and midline structures (larynx, trachea, and esophagus) on the left lateral side, suggesting a large cystic mass originating from thyroid tissue (Figure 4). 
case_images: (A) Needle aspiration of thyroid abscess; (B) after draining 450 mL of pus; (C) drained pus.
case_images: IMCRJ-17-409-g0005.jpg
case_images: PMC11075674_01_IMCRJ-17-409-g0005.jpg
case_images: f0005
case_images: Subsequently, after stabilization and initial investigation, incision and drainage (I & D) of the thyroid abscess was done, draining a total of 900 mL thin pus with the initial aspirate (Figure 5).