Demonstration of ectopic thyroid tissue is diagnostic of thyroid dysge
nesis, Delineating the lingual thyroid is, therefore, one of the impor
tant issues in ultrasonic imaging. We delineated the lingual thyroid i
n eight patients with congenital hypothyroidism using two basic scanni
ng positions: the midline sagittal the floor of the mouth, All the lin
gual thyroids were located close to the hyoid bone, This location corr
elated well with the observations on radioisotope scanning, We emphasi
se the importance of a knowledge of the sonographic anatomy of the flo
or of the mouth in obtaining satisfactory results in this examination.