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On clinical examination, this patient was found to have a firm to hard leftsided solitary thyroid nodule. Fine-needle aspiration cytology of this nodule was suggestive of a follicular neoplasm with Hürthle cell changes, and excision biopsy proved the nodule to be follicular carcinoma of the thyroid. The final diagnosis was metachronous dual primary malignancies: GIST and follicular carcinoma of the thyroid. Courtesy of Sandip Basu and Narendra Nair, Radiation Medicine Center (BARC), Tata Memorial Hospital Annexe, Bombay, India.