32 year old female complaining of a non-tender nodule on left side of the neck. Temp 37C

BP 110/72, HR 85 beats/min. A 3cm non-tender nodule palpated along the left sternocleidomastoid neard the superior aspect of the thyroid cartilage. The thyroid was symetrical except for a hard 2.5 cm nodule on the left lobe of the thyroid. The rest of the exam was noncontributory.

CBC normal, normal differential, urine normal.

Which of the following courses of action would be the best?

• 1. Do you want to see an X-ray of the neck?
• 2.Do you want to see a radioactive iodine scan?
• 3. Do you want to tell the patient to come back in a week ?

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