Case of February 2017

 

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Clinical History:

 

A 68 year old lady with history of left hemithyroidectomy for non-toxic multinodular goiter was found to have a suspicious left-sided neck lesion detected on ultrasound in the surgical follow up clinic. She was referred for ultrasound guided fine needle aspiration. A targeted ultrasound, contrast MRI and CT neck were performed.

 

Fig 1a


Fig 1b

Figure 1. US

 

Fig 2a


Fig 2b


Fig 2c

Figure 2. MRI (T1, T2, Post-Gd T1 FS axial)


Fig 3a


Fig 3b

Figure 3. CT