CT
Axial non-contrast
Axial C+ portal venous phase
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Precontrast images demonstrate loss of the inherit normal high density of the thyroid gland which is enlarged and replaced by hypodense masses. Post contrast study show enhancing septa within the non-enhancing enlarged thyroid. Multiple enlarged lymph nodes are seen as well.