Thyroid Case 4

Details on request card

22 year old woman with hyperthyroidism. Remainder of clinical details temporarily withheld.

Procedure

Thyroid uptake scintigram (Tc99m-pertechnetate). Anterior,right anterior oblique, left anterior oblique and unzoomed anterior views.

thyroid image 4a thryoid image 4b

thyroid image 4c thyroid image 4d

Questions

1) What is your assessment of thyroid uptake?
2) What do A and B represent – can you guess the missing clinical information?
3) What is the complete diagnosis?
4) What is the natural history of this condition?
5) What are the radiation protection issues when performing thyroid scintigraphy in this setting?

Click here to see the answer

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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.