Diagnosis?

General Data Name: M, C Age/Sex: 44/Female Civil Status: Married Religion: Catholic Admission: July 11,2017 Chief Complaint: Anterior neck mass HPI: History started 4 years prior to admission, when patient claimed of noticing an anterior neck mass, right, about the size of a marble, moves with swallowing, non-tender, well-delineated and no associated symptoms. No consult nor medication was done during this time. During the interim, patient claimed of a slow, enlargement of the said mass. No associated symptoms. She sought consult and was advised to go to a surgeon. Patient did not comply. 4 months prior to admission, patient claimed that a mass was already present at the left side of her neck w/c was about the same size of the right. Patient also claimed of choking sensation especially when lying supine. Patient decided to seek consult in our institution. Laboratory and imaging tests were requested as well as an FNAB was done. Patient was then advised and scheduled for surgery for which she complied. Past Medical History: Unremarkable Family History: Unremarkable Personal and Social History: Unremarkable Physical Examination: General Survey: conscious, coherent, not in CP distress Vital Signs: BP 100/70 HR 73 bpm RR 20 cpm temp 36.6 C HEENT: Anicteric sclerae, pink conjunctiva; (+) 4cm x 3 cm x 4cm anterior neck mass, right and 3cm x 3cm x 4cm mass at the left, smooth, well-delineated, non-tender and firm, no palpable cervical nodes Chest and Lungs: Symmetrical chest expansion, no rib retraction, clear and equal breath sounds Cardiac: Adynamic precordium, normal rate, regular rhythm, no thrills nor murmurs Abdomen: flat, no post-op scar, normoactive bowel sounds, non-tender Rectal: no anal fissures nor skin tags, good sphincter tone, rectal vault not collapsed, no mass palpated Extremities: full and equal pulses, grossly normal Salient Features: - 44 y.o/female - Slow enlarging anterior neck mass - No other associated symptoms - No family history of thyroid diseases - No history of radiation exposure