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Thyroid Examination Examination examination of the thyroid gland starts with inspection. In doing so itamp;#39;s important to consider the glands anatomy and its surrounding structures. The thyroid cartilage is a helpful landmark, since the thyroid can be palpated bilaterally below it. In healthy individuals, the thyroid only weighs around 18 to 25 grams and should not be visible. An enlarged thyroid, otherwise known as goiter, is considered Class 2 if macroscopically visible. When the head is reclined, thyroid enlargement can be seen even earlier. Palpation is usually performed from behind, although anterior palpation is also feasible. The gland is often only detectable upon palpation if a pathology is present, such as nodules, enlargement, or an altered consistency. You should also note any tenderness to touch as seen in inflammatory changes, such as a viral infection. To assess the mobility of the thyroid gland ask the patient to swallow and offer a glass of water, if necessary. If