RADIOLOGY: HEAD: Case# 33046: LINGUAL GOITER. Elderly female with 3 year history of lump on the anterior neck. She has had no previous thyroid surgery. There is a 3 x 2.5 cm enhancing mass in the anterior neck in midline at the level of the thyroid cartilage. The enhancement characteristics are similar to thyroid tissue. No normal enhancing thyroid gland tissue is seen in the usual location lateral to the thyroid cartilage bilaterally. In addition, a densely enhancing complex mass is also seen in the base of the tongue, measuring 2.0 x 3.0 cm.