Thyroid lymphoma

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Rapidly growing neck mass

Patient Data

Age: 50 years
Gender: Female
x-ray
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Info

Deviation of the trachea to the right at the level of the thoracic inlet. Normal hila. Small right pleural effusion. Lungs clear. 

Ultrasound thyroid

ultrasound
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Info

Enlarged thyroid gland is largely replaced by heterogeneous masses with marked hypoechogenicity. Neither significant vascularity nor calcification are seen. Multiple hypoechoic lymph nodes.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Precontrast images demonstrate loss of the inherit normal high density of the thyroid gland which is enlarged and replaced by hypodense masses. Post contrast study show enhancing septa within the non-enhancing enlarged thyroid. Multiple enlarged lymph nodes are seen as well.

PET-CT

Nuclear medicine
This study is a stack
Axial
fused
Coronal
fused
Coronal
MIP
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Info

Marked activity within the enlarged thyroid gland. Small solitary active abdominal lymph node is also present of unclear significance.

Case Discussion

Pathologically-proven thyroid lymphoma.

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