September 2013

Intracystic mass in a midline cyst cranial to the thyroid

Clinical Info

Palpable mass in the midline cranial to the thyroid gland.

Ultrasound Images & Clips

Intracystic mass in a midline cyst cranial to the thyroid

Intracystic mass in a midline cyst cranial to the thyroid
Intracystic mass in a midline cyst cranial to the thyroid
Another longitudinal image of the same intracystic lesion showing tiny echogenic foci
Another longitudinal image of the same intracystic lesion showing tiny echogenic foci
Transverse image of the same lesion
Transverse image of the same lesion
The lesion is vascularized
The lesion is vascularized
Another longitudinal mass showing the vascularity
Another longitudinal mass showing the vascularity
Transverse image of the same lesion
Transverse image of the same lesion
Transverse image of the normal thyroid
Transverse image of the normal thyroid
Longitudinal image of a normal thyroid lobe
Longitudinal image of a normal thyroid lobe
Transverse image of a normal right thyroid lobe
Transverse image of a normal right thyroid lobe
Transverse image of a normal left thyroid lobe
Transverse image of a normal left thyroid lobe

Conclusion

The midline cyst is a thyroglossal cyst They can have echogenic contents due to infection of the cyst. It should not contain irregular soft tissue masses. This mass also contains small calcifications making it very suspicious for a papillary carcinoma. Biopsy confirmed the presence of a papillary carcinoma in a thyroglossal cyst with a normal thyroid gland. There were no pathological lymph nodes and the patient recovered well after surgical treatment


Details

  • Sex: Female
  • Age: 66

Created with

  • Hitachi Ultrasound System