Case Study

Patient History

• Male, 2nd decade
• Indication: Family History
• US Soft Tissue Head/Neck
• Siemens Acuson S2000
• High frequency linear transducer

Lab Values

• Antithyroidperoxidase in the bloodstream
• TSH increased
• T3 and T4 decreased

Image One - Right Thyroid

Image Two - Left Thyroid

Diagnosis

• Right Lobe: 5.6 x 2.3 x 2.0 cm
• Left Lobe: 5.4 x 2.2 x 2.5 cm
• Isthmus: 3 mm
• Abnormal echo pattern
• Hashimoto Thyroiditis

Hashimoto Thyroiditis

• Normal thyroid echo pattern vs. Hashimoto Thyroiditis
• Gradual painless enlargement
• Hypothyroidism
• Middle aged women (30-50 years of age)

Gross Anatomy

Treatment

• Thyroid hormone replacement
• Follow-up of any nodules
• Detection of Thyroid Non-Hodgkin Lymphoma
• Nonsurgical

DIFFERENTIAL DIAGNOSIS

DIFFERENTIAL DIAGNOSIS

References

OTHER IMAGING MODALITIES

• Nuclear Medicine Imaging- 'hot' and 'cold' nodules
• CT and MRI- size, location, and metastatic spread