IRPMSRACLIN1-066

Sarah is a 50 year old female who requested an appointment to discuss her recent weight loss. She reports feeling anxious, losing five kilograms of weight, weakness in her thighs and a neck lump. Examination revealed an enlarged thyroid gland. Sarah smokes ten cigarettes a day and drinks four units of alcohol. She works as a hospital radiographer. Thyroid function tests are normal.

What is the most likely diagnosis?

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