Papillary thyroid carcinoma - with miliary metastases

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Neck mass.

Patient Data

Age: 70 years
Gender: Male
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Miliary opacities project through both lungs. 

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CT of the chest confirms the multiple nodules, which are spherical, well-circumscribed and vary in size.

This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
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CECT of the neck shows huge heterogeneously enhancing mass arising from the thyroid glands.

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US demonstrates diffuse enlargement of the thyroid gland that has been largely replaced with hyperechoic masses.

Case Discussion

FNA performed and pathology revealed papillary thyroid carcinoma.

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