Presentation
Patient known case of papillary thyroid carcinoma status post resection.
Patient Data
Age: 20 years
Gender: Female
From the case:
Miliary metastases from papillary thyroid cancer
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Frontal

X-ray shows innumerable bilateral nodular opacities, with diffuse distribution, predominantly in the mid and lower zones.
From the case:
Miliary metastases from papillary thyroid cancer
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Axial C+ portal venous phase

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.