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Martha is a 40 year old receptionist who presents worried about a neck lump. She has noticed it over the last 2 weeks and denies any pain or growth. She is a non-smoker and drinks minimal alcohol on social occasions. There is no hoarse voice or dysphagia.

On examination she has a 1cm non tender mobile lump in the midline of the neck. It moves upwards when you ask her to swallow a sip of water.

What is the most likely diagnosis?

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