Metastatic spread of differentiated thyroid cancer to genitourinary organs is rare. Synchronous presentation of renal and adrenal thyroid metastasis is even less common. this case being only the 3rd reported. We describe a case of a 60-year-old male with oligometastatic thyroid cancer. https://www.lightemupsequences.com/quick-grab-No-231-Bismarck-Standard-Stainless-Steel-Piping-Tip-best-mega/