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

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

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

ct

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

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.