A 75 yo M w/ metastatic papillary thyroid cancer s/p XRT 19 sessions who presented with 2 days of worsening dysphagia for solids, poor oral intake, weight loss 20 pounds over last several weeks and some lethargy.
Papillary thyroid cancer dx w/ right neck mass
--s/p neck mass resection; unable to perform thyroidectomy
--high bleed risk, proximity to trachea and recurrent laryngeal nerve and large tumor size
--s/p XRT to neck 
--s/p RAI ablation
--Metastatic to lymph nodes and adrenal glands
* s/p hernia repair
* s/p tonsillectomy