Presentation
Patient presented with left sided neck swelling.
Patient Data
There is a heavily calcified thyroid nodule noted in the left thyroid lobe, in addition to a necrotic left supraclavicular lymph node with mural vascular component and internal echogenic foci that is causing mass effect upon adjacent structures.
The rest of cervical lymph nodes were benign-looking and unremarkable.
The right thyroid lobe and isthmus were normal in echo pattern without evidence of focal lesion.
Case Discussion
Papillary thyroid carcinoma is the most common malignancy of the thyroid gland and usually presents as a solitary thyroid nodule with punctate echogenic foci or gross calcification, it prefers lymphatic metastasis.
This patient had typical US findings and a biopsy-proven diagnosis of papillary thyroid carcinoma.
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