Pharyngoesophageal (Zenker's) diverticula are the most common diverticula of the esophagus, frequently presenting with dysphagia.1 In rare cases, diverticula become palpable in the anterior neck and can be mistaken for lesions of thyroid origin. This article describes a palpable Zenker's diverticulum initially thought to be a thyroid nodule. To avoid inappropriate or unnecessary interventions in such ambiguous cases, a summary of distinguishing features of these entities is proposed.
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