Neck pain often occurs in daily life, some of which occurs after applying pressure, and the most common cause of this condition is thyroid disease. When goiter, thyroiditis, enlarged lymph nodes and lymph node inflammation are present, pain can occur when pressure is applied. The most direct and convenient means of differentiation is an ultrasound of the neck, including the thyroid gland and lymph nodes. The ultrasound allows you to see the shape, size, and blood flow of the thyroid gland to determine if it is inflamed, as well as the size, number, and presence of inflammation in the lymph nodes. Once the lymph nodes and thyroid gland have been differentiated from each other in terms of severity, other aspects, such as blood tests, are performed to determine function. While imaging is being done, the patient is asked about the clinical presentation, including the presence of fever, panic attacks, and other illnesses that can provide clinical signs that can help in the diagnosis. In short, the judgment is made on a patient-by-patient basis.