A 32-year-old male presented with a solitary nodule over the right side of lower neck for three months with progressive enlargement. He had no systemic symptoms. On examination, there was a solitary, nontender, and firm swelling on the right side of neck with no evidence of lymphadenopathy. Systemic examination was unremarkable, and clinically, he was euthyroid. His complete blood count, ESR, and routine biochemistry were within normal limits. Biochemically, he was euthyroid. His Technetium 99 thyroid scintigraphy revealed multinodular goiter involving both lobes. Ultrasound of thyroid revealed multinodular goiter with the largest nodule (4 x 4 cm) in the right lobe of thyroid. Ultrasound-guided FNAC revealed extensive caseous necrosis suggestive of tuberculosis. His X-ray chest was within normal limits. He was started on ATT with four-drug regimen for three months followed by three-drug regimen for the next six months. Followup examination after six months revealed remarkable regression of the size of the nodule (Figures 2(a) and 2(b)).