90
a
b
cc
d
Fig. 3.11 ( a ) A 4-year-old child with midline swelling in upper part of the neck. ( b ) Upward
movement of swelling with protrusion of the tongue. ( c ) MRI T2 sagittal image shows presence of
lingual thyroid at posterior one-third of the tongue and ectopic thyroid tissue anterior to the glottis
with absence of thyroid tissue at the eutopic site suggestive of “double ectopic” thyroid gland ( red
arrows ). ( d ) 99m Tc thyroid scan confi rms the “double ectopic” thyroid gland
3 Thyroid Disorders in Children