APIK Journal of Internal Medicine

RADIOLOGICAL DIAGNOSIS
Year
: 2022  |  Volume : 10  |  Issue : 4  |  Page : 280--281

Radiological presentation of follicular carcinoma thyroid with metastasis to lung and vertebra in male


Shaik Parvez1, Sangram Biradar2,  
1 Department of General Medicine, Basaweshwar Teaching and General Hospital, Attached to M. R. Medical College, Gulbarga, Karnataka, India
2 S. B. Medical Center, Gulbarga, Karnataka, India

Correspondence Address:
Dr. Sangram Biradar
S. B. Medical Center, #413 Jahoti Enclave, Station Road, Gulbarga, Karnataka
India




How to cite this article:
Parvez S, Biradar S. Radiological presentation of follicular carcinoma thyroid with metastasis to lung and vertebra in male.APIK J Int Med 2022;10:280-281


How to cite this URL:
Parvez S, Biradar S. Radiological presentation of follicular carcinoma thyroid with metastasis to lung and vertebra in male. APIK J Int Med [serial online] 2022 [cited 2023 Feb 8 ];10:280-281
Available from: https://www.ajim.in/text.asp?2022/10/4/280/359446


Full Text



An 82-year-old male presented with altered sensorium since morning with an alleged history of accidental fall 15 days back, and there was no history of vomiting, headache, involuntary movement of limbs, loss of consciousness, and fever. He is a known case of diabetes for 10 years. There was no history of hypertension and tuberculosis. His family history was not suggestive of carcinoma or chronic illness. The patient is nonsmoker and nonalcoholic.

 Questions



What is the computed tomography (CT) thorax suggestive of?What is the most probable diagnosis?What is the differential diagnosis?

 View Answer

 Answers



What are the CT thorax findings?

[Figure 1] shows the CT neck and thorax contrast enhanced coronal image showing avidly enhancing lesion in thyroid region.{Figure 1}

[Figure 2] shows the CT thorax in lung window axial sections at the mid thoracic level.{Figure 2}

Evidence of multiple nodular opacities with varying attenuation involving posterior segment of right upper lobe, apicoposterior segment and lingular segment of left upper lobe, medial, lateral segment of right middle lobe, basal segments of bilateral lower lobe showing enhancement.Bilateral lower lobe consolidation with mild pleural effusion.

[Figure 3] shows the CT bone window sagittal bone window.{Figure 3}

Evidence of multiple lytic areas noted in the vertebral body of D5, D6, D7, D8, D9, and D10.

What is the most probable diagnosis?

Multiple nodular lesions in the lungs with lytic lesions in vertebral body D5, D6, D7, D8, D9, and D10 features suggestive of metastasis. Evidence of mass enhancing lesion in thyroid Likely primary thyroid neoplasm.

What is the differential diagnosis?

Vertebral and pulmonary metastasis.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.