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Pathology
A 58-year-old woman presents with difficulty in swallowing. A thorough workup by a gastroenterologist fails to reveal any primary esophageal disease. The woman is referred to an endocrinologist for evaluation of her thyroid. The endocrinologist suspects Riedel thyroiditis. Which of the following findings on physical examination would best help confirm the diagnosis?
Eyeball protrusion
Massive soft thyroid gland
Painful and tender thyroid gland
Very firm thyroid gland
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