“…Our patient presented with features of recurrent neck abscess and suppurative thyroiditis. In the same vein, imaging features suggestive of third or fourth branchial arch anomalies include a unilocular beaked-shaped cyst with a medial contour that tapers at the pyriform fossa on the left side of the neck (Li et al, 2021(Li et al, , p. 2094. Rarely these anomalies may present in neonates with symptoms of respiratory distress resulting from an airfilled sinus (Fockens, de Bakker, van Lienden, Dikkers, & Hoekstra, 2021, p. 1-2).…”