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Adam's apple may not be exactly symmetrical. It is likely that the asymmetry was not noticed before.
A swelling can also occur if the thyroid gland disease like hypothyroidism or hyperthyroisdism.
In such cases a blood test called thyroid function test may be done apart from thyroid ultrasound for further diagnosis and management.
I hope this helps
I do think that you should wait for few days and monitor the size and if it is constant for next few months you may not require any immediate medical attention.
It is possible that the asymmetry was not noticed before.
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