Toxic multinodular goiter

Case contributed by Dennis Odhiambo Agolah , 7 Nov 2022
Diagnosis certain
Changed by Henry Knipe, 16 Nov 2022
Disclosures - updated 6 Apr 2022:
  • Radiopaedia Events Pty Ltd, Speaker fees (past)
  • Integral Diagnostics, Shareholder (ongoing)
  • Micro-X Ltd, Shareholder (ongoing)

Updates to Case Attributes

Title was changed:
Toxic nodularmultinodular goitre
Age changed from 35 Years to 35 years.
Body was changed:

Diffuse thyromegaly in the background of multinodular accompaniment from both lobes and the isthmus body, the nodules mentioned are overtly suspicious and unanimously with; increased hyper-reflectivity, micro-millimetre calcific foci, irregularly outlined nodular margins and intra-nodular vascularity (TIRADS 4c~ - moderate suspicion for malignancy). There is symmetrical bilateral retrosternal extension in this presentation of a clinically known case of toxic goitre.

  • -<p>Diffuse thyromegaly in the background of multinodular accompaniment from both lobes and the isthmus body, the nodules mentioned are overtly suspicious and unanimously with; increased hyper-reflectivity, micro-millimetre calcific foci, irregularly outlined nodular margins and intra-nodular vascularity (TIRADS 4c~ moderate suspicion for malignancy). There is symmetrical bilateral retrosternal extension in this presentation of a clinically known case of toxic goitre.</p>
  • +<p>Diffuse thyromegaly in the background of multinodular accompaniment from both lobes and the isthmus body, the nodules mentioned are overtly suspicious and unanimously with; increased hyper-reflectivity, micro-millimetre calcific foci, irregularly outlined nodular margins and intra-nodular vascularity (TIRADS 4c - moderate suspicion for malignancy). There is bilateral retrosternal extension in this presentation of a clinically known case of toxic goitre.</p>

Updates to Study Attributes

Findings was changed:

Symmetrically diffusely enlarged thyroid gland lobes with heterohypoechoic echopattern and augmented vascularity. The right lobe measures 57 cc while the left totals into 55 cc in volume and each lobe plus the isthmus body demonstrates multiple nodules of increased reflectivity, showing calcific foci of micro-millimeter-millimetre diameters intrinsically. There is perifocal plus centripetal vascularity within the mentioned thyroid nodules. Small multiple reacted left lateral neck sub-mandibularsubmandibular chain lymphnodes (levelslymph nodes (level III) are noted.

Updates to Link Attributes

Title was removed:
Toxic nodular goitre
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.