Thyroid Case 3

Details on request card

50 year old woman with thyrotoxicosis and tender thyroid gland

Procedure

Thyroid uptake scintigram (Tc99m-pertechnetate). Anterior zoomed and unzoomed views are shown.

thyroid image 3a thyroid image 3b

Questions

1) What pattern of thyroid uptake is shown?
2) What is the likely implication of this in a thyrotoxic patient?
3) What are the other causes of this pattern of thyroid uptake in patients with hyperthyroidism?
4) What is the implication of A?

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.