Miliary metastases from papillary thyroid cancer

Case contributed by David Cuete


Patient known case of papillary thyroid carcinoma status post resection.

Patient Data

Age: 20 years
Gender: Female

X-ray shows innumerable bilateral nodular opacities, with diffuse distribution, predominantly in the mid and lower zones.

Innumerable nodules compatible with miliary dissemination of the known primary papillary thyroid cancer. No pleural or pericardial effusion. 
Heart and vascular mediastinal structures unremarkable. No hilar lymphadenopathy, mediastinal or axillary identified.

Unremarkable upper abdomen noted.

Case Discussion

This case shows the hematogenous spread of papillary thyroid cancer in the form of miliary opacities.

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