The thyroid gland is diffusely enlarged with a nodular heterogeneous CT attenuation and scattered calcific foci. At the level of the hyoid bone and to the left, closely related to the strap muscles, is a well-defined rounded structure with hyperdense, slightly heterogeneous CT attenuation similar to the thyroid. It measures 1.6 x 1.9 x 2.2 cm. The appearance is most suggestive of an ectopic thyroid gland. Bilateral small multilevel cervical lymph nodes.