Thyroid Cancer - 77-year-old male

History
A 77-year-old male with thryoid CA dx 1995. S/P. Thyroidectomy 1995. Recently with negative I-131 scan, rising thyroglobulin levels and negative CT scan.

PET/CT Findings
PET demonstrated lesion in anterior neck. Combined PET/CT localized lesion to area of L false vocal cord which may represent second primary. Patient sent for surgical consultation. Very unlikely a thyroid met, however, no explanation for rising thyroglobulin levels.

Imaging
ECAT REVEAL