A 63-YEAR-OLD-WOMAN had right hand weakness accompanying a right neck mass. Examination revealed a large right thyroid mass, bilateral cervical lymphadenopathy, and weakness of the right intrinsic hand muscles and adductor pollicis. Magnetic resonance imaging (MRI) (Fig. 1 ) revealed a 6.5-cm thyroid mass (A) and a destructive lesion of C7 and T1 with spinal cord compression (B). Thyroid fine-needle aspiration (FNA) suggested papillary thyroid cancer. Serum thyroglobulin was 2266 ng/mL. On

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... erative angiography, the primary tumor (A) was supplied by the right inferior thyroid artery (Fig. 2) while the spinal metastasis (B) was served by the left supreme intercostal artery which was em-*If you would like to submit an image for publication in "Images in Thyroidology" please send two copies of high-quality black-andwhite images with a short legend. In special circumstances color figures will be published. Please inquire with the Section Editor for details. All material must be original and neither published nor submitted elsewhere. The legend should give relevant clinical information. The entire legend should be typed double-spaced, and should be no more than 200 words. Send all submissions to Yaron Tomer, M.D.,