Textbook example of Fasciation. Page 508 in "Diseases of Trees and Shrubs" talks about it. Could be hormonal from a variety of things. Very interesting, was the abnormal flattening all the way back to the graft union?
Tree species?
The growth anomaly looks like fasciation to me. Keep in mind that "fasciation" refers to the symptomatic growth form and development and is not a single disease as such.
Yes, I believe it was a red cedar/cultivar. It was on a property that we were pruning other trees and I happened to notice this growth. I have no idea what, if any, treatments this tree has received...or the landscape in general. I almost asked her, as I thought it looked like it could have been a cause. Thanks for the feedback. You are all incredibly knowledgeable.