Abstract
Ectopic thyroid tissue is an uncommon anomaly, and the presence of dual ectopic thyroid tissues in a single patient is exceedingly rare. We describe a 69-year-old woman who presented with dyspeptic symptoms, asthenia, aphonia, and chronic fatigue. The patient was eventually found to have a multinodular goiter, cervical goiter, and mediastinal goiter. The patient underwent radical thyroidectomy and dissection, followed by treatment with levothyroxine. This report underscores the diagnostic challenges in complex presentations of ectopic thyroid tissue.