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Clinical Problem Solving: Radiology
May 2005

Radiology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2005;131(5):461. doi:10.1001/archotol.131.5.461

A 24-year-old white man presented with a 3-month history of swelling in the right thyroid region. The onset of the swelling was gradual and was associated with night sweats. The patient had no other upper aerodigestive tract symptoms, such as hoarseness of voice. His medical and social histories were unremarkable. Clinical examination showed a 6 × 5-cm swelling in the right side of the thyroid region that moved with deglutition. Vocal cord movements were normal. The mass was pulsating, and a bruit was noted on auscultation. Computed tomography of the neck (Figure 1) and precontrast (Figure 2) and postcontrast (Figure 3) T1-weighted magnetic resonance images showed a lesion in the right lobe of the thyroid gland.