The purpose of this study was to determine the value of ultrasound exa
mination in the diagnosis of thyroglossal duct anomalies. The ultrasou
nd and palpation findings in 24 patients with a thyroglossal duct anom
aly were reviewed. Cysts, tracts and ectopic thyroid tissue appeared t
o produce a characteristic ultrasound pattern in most cases. This stud
y includes 5 patients with nonsymptomatic lesions which were detected
at ultrasound examination. The necessity of performing a radionuclide
scan prior to surgery for a thyroglossal duct anomaly is reconsidered
in view of the diagnostic power of ultrasound in thyroid disease.