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Objective: To report a case of a patient who developed an acute and transient, tender, and bilateral swelling of the thyroid that occurred during fine-needle aspiration (FNA) of a solitary nodule in the left thyroid lobe; to add accurate ultrasound measurements to support our clinical observation; and to analyze a possible underlying mechanism of this rare condition. Results and clinical follow-up: The calculated thyroid volume increased from 23 to 57 mL before and at 4 minutes, respectively,doi:10.1089/thy.2007.0118 pmid:18302522 fatcat:fb3ge62ennd2fm4r4eisvlm3ee