EURORAD ESR

Case 16070

Papillary thyroid carcinoma(PTC):Local recurrence post thyroidectomy

Author(s)
Dr Alka Ashmita Singhal, Dr Deepak Sarin1, Dr Monika Aggarwal, Dr Haimanti Sarin2

Medanta The Medicity Hospital, Medanta Division of Radiology and Nuclear Medicine; Medanta Head and Neck Oncosurgery1, Medanta Department of Cytopathology2, Sector 38 Gurugram 122002 Delhi, India; Email: dr.alkaasinghal@gmail.com
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Ultrasound neck
     

    Fig 1 a-f Ultrasound neck showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region. The lesion shows few tiny punctate foci.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Ultrasound neck : Transverse scan showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region, just lateral to trachea. The lesion shows few tiny punctate foci.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Ultrasound neck showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region with punctate foci. Right thyroid fossa region showing no abnormality on this scan.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 2
    Ultrasound Neck colour Doppler
     

    Ultrasound neck with colour Doppler showing heterogenous and chaotic vascularity in the hypoechoic area located in the left thyroid fossa region.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Ultrasound neck with colour Doppler showing heterogenous and chaotic vascularity in the hypoechoic area located in the left thyroid fossa region, with corresponding B mode image.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 3
    Ultrasound Elastography

    Ultrasound strain elastography image showing the lesion area to be colour coded in orange and yellow, suggesting the stiffness level to be firm to hard, as per the depicted colour map.

     
    Area of Interest: Head and neck; Imaging Technique: Elastography; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 4
    Cytopathology of Ultrasound guided FNA
     

    Cytopathology of Ultrasound guided FNA : MGG 60 x : showing epithelial cells with nuclear grooves and an intranuclear cytoplasmic inclusion. Scattered lymphocytes are seen in the background

     
    Area of Interest: Head and neck; Imaging Technique: Image manipulation / Reconstruction; Procedure: Biopsy; Special Focus: Endocrine disorders;

    Cytopathology of Ultrasound guided FNA : MGG 60 x : showing epithelial cells with nuclear grooves and an intranuclear cytoplasmic inclusion. Scattered lymphocytes are seen in the background

     
    Area of Interest: Head and neck; Imaging Technique: PACS; Procedure: Biopsy; Special Focus: Endocrine disorders;
     
     
  • Figure 5
    Figure 5 CECT Neck
     

    CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Endocrine disorders;

    CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Endocrine disorders;

    CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Endocrine disorders;

    CECT Neck : 2 yrs post surgery sagital post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Endocrine disorders;
     
     
Fig 1 a-f Ultrasound neck showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region. The lesion shows few tiny punctate foci.
 
Ultrasound neck : Transverse scan showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region, just lateral to trachea. The lesion shows few tiny punctate foci.
 
Ultrasound neck showing a heterogenous hypoechoic area measuring 21x9 mm located in the left thyroid fossa region with punctate foci. Right thyroid fossa region showing no abnormality on this scan.
 
Ultrasound neck with colour Doppler showing heterogenous and chaotic vascularity in the hypoechoic area located in the left thyroid fossa region.
 
Ultrasound neck with colour Doppler showing heterogenous and chaotic vascularity in the hypoechoic area located in the left thyroid fossa region, with corresponding B mode image.
 
Ultrasound strain elastography image showing the lesion area to be colour coded in orange and yellow, suggesting the stiffness level to be firm to hard, as per the depicted colour map.
 
Cytopathology of Ultrasound guided FNA : MGG 60 x : showing epithelial cells with nuclear grooves and an intranuclear cytoplasmic inclusion. Scattered lymphocytes are seen in the background
 
Cytopathology of Ultrasound guided FNA : MGG 60 x : showing epithelial cells with nuclear grooves and an intranuclear cytoplasmic inclusion. Scattered lymphocytes are seen in the background
 
CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels
 
CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels
 
CECT Neck : 2 yrs post surgery Axial post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels
 
CECT Neck : 2 yrs post surgery sagital post contrast images showing a small 7x5mm enhancing nodule in the left upper neck anteromedial to the carotid vessels
 
 
 
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