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Thyroid cancer metastasis

Case contributed by Hani Makky Al Salam
Diagnosis certain

Presentation

Left shoulder pain

Patient Data

Age: 70 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Left shoulder

x-ray

Expansile lytic lesion at left humeral neck.

Left shoulder

mri

Left humerus neck lesion with high signal intensity on STIR with avid post-contrast enhancement.

Bone scan

Nuclear medicine

Hot lesion left humeral neck on bone scan.

Chest

ct

​Multiple small variable-sized random pulmonary nodules, in keeping with lung metastases.

ultrasound

Left thyroid gland mass with homogeneous hyperechoic texture and few microcalcifications.

Case Discussion

FNA left thyroid gland, cytomorphology is consistent with papillary thyroid carcinoma.

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