PMC6352650_01
Bone marrow aspirate showing trilineage hematopoiesis and mild dysplasia in the erythroid series, (May-Grunwald-Giemsa, x400)
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F1
BMA showed hypercellularity with erythroid hyperplasia [Figure 1].
Bone marrow biopsy showing mild hypercellularity with erythroid hyperplasia, and normal trilineage hematopoiesis (H and E, x400)
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F2
Bone marrow biopsy [Figure 2] showed similar features as shown in BMA.
Technetium-99 m thyroid uptake scan shows severely increased but diffuse homogeneous tracer uptake in the enlarged thyroid gland with faintly visualized salivary glands suggestive of diffuse toxic goiter. Technetium 99 m pertechnetate uptake at 20 min is 46.5%
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F3
She underwent technetium-99 m thyroid uptake scan [Figure 3], which showed diffusely increased homogeneous tracer uptake in the enlarged thyroid gland, suggestive of diffuse toxic goiter.