Common causes of multiple vertebral body lesions include metastatic disease, myeloma, and lymphoproliferative disorders.1 However, rising immigration from tuberculosis (TB)–endemic regions and increasing prevalence of patients who are immunocompromised may require clinicians to broaden their differential. Pott’s disease, or tubercular spondylitis, is a rare presentation of extrapulmonary TB, with 3% to 5% affecting the cervical spinal tract, presenting with neck pain, tetraplegia, sensory deficits, and urinary dysfunction.2 We report an extremely rare case of an enlarged thyroid mass and multiple vertebral lesions concerning for metastatic thyroid disease, which was discovered to be tubercular spondylitis on intraoperative pathology and cultures. This report was deemed exempt by the University of Nevada Las Vegas Institutional Review Board.
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