Key Clinical MessagePapillary thyroid cancer (PTC), a common neoplasm originating from thyroid follicular cells, represents 85% of thyroid malignancy. PTC is known to metastasize to adjacent structures. Studies report that 5–15% of detected thyroid nodules represent malignancy; here, we report a 51‐year‐old woman with incidental thyroid nodules identified on the cervical spine.