April 2007

Thyroid mass

Clinical Info

Palpable painless masses in the right and left thyroid lobe

Ultrasound Images & Clips

51 year old female, Palpable painless masses in the right and left thyroid lobe

Transverse image of a hypoechoic mass in the right thyroid lobe with punctate calcifications
Transverse image of a hypoechoic mass in the right thyroid lobe with punctate calcifications
Transverse image of the same mass with ill defined contour and punctate calcifications
Transverse image of the same mass with ill defined contour and punctate calcifications
Transverse image of the rest of the right thyroid lobe without abnormality
Transverse image of the rest of the right thyroid lobe without abnormality
Color doppler image of the mass in the right thyroid lobe with irregular vascularity
Color doppler image of the mass in the right thyroid lobe with irregular vascularity
Transverse image of the left thyroid lobe with a partly cystic mass
Transverse image of the left thyroid lobe with a partly cystic mass
Longitudinal image of the left thyroid lobe with the same partly cystic mass
Longitudinal image of the left thyroid lobe with the same partly cystic mass

Conclusion

Because the mass in the right thyroid lobe was hypoechoic with an irregular contour, punctuate cacifications and irregular vascularity the lesion showed signs of a thyroid carcinoma. The mass in the left throid lobe on the other hand showed benign characteristics. Examination of the lymphe nodes in the neck showed no pathological nodes.
Biopsy proved the lesion in the right lobe to be a papillary carcinoma. The lesion in the left lobe proved to be a benign adenoma with cystic degeneration.

References
Frates MC, Benson CB, Charboneau JW, Cibas ES, Clark OH, Coleman BG, Cronan JJ, Doubilet PM, Evans DB, Goellner JR, Hay ID, Hertzberg BS, Intenzo CM, Jeffrey RB, Langer JE, Larsen PR, Mandel SJ, Middleton WD, Reading CC, Sherman SI, Tessler FN.
Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement.
Ultrasound Q. 2006 Dec;22(4):231-8; discussion 239-40.


Details

  • Sex: Female
  • Age: 51

Created with

  • Hitachi Ultrasound System