On admission, the patient was febrile to 100.9°F and tachycardic to 130 beats/minute, with blood pressure of 134/88 mm·Hg, respiratory rate of 18 breaths/minute, and oxygen saturation of 99% on room air. Bedside incision and drainage of the left forearm abscess was performed, and cultures grew methicillin-sensitive Staphylococcus aureus (MSSA). Laboratory workup was significant for an elevated white blood cell count of 23.8/μL with differential showing 84.6% neutrophils. Thyroid function tests showed a TSH of 0.02 U/mL, free T4 of 3.89 ng/dL, and free T3 of 5.1 pg/mL, consistent with thyrotoxicosis. The patient was HIV negative and hepatitis C antibody positive. Within the first 24 hours, one out of two blood cultures was positive for MSSA. Computed tomography (CT) scan of the neck with contrast showed a 6.4 × 6.1 × 7.1 cm mass regional to the right thyroid lobe, heterogeneous in appearance with multiple septations and with solid enhancing and cystic components (Figure 1). Mild-to-moderate edema/inflammatory changes were evident along the retropharyngeal space. Additionally, mild luminal narrowing and posterior displacement of the right common carotid artery, lateral displacement and marked narrowing of the right internal jugular vein, and leftward deviation of the trachea were apparent.