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Images of the patient's pre-tibial myxedema (2018). Multiple skin-colored nodules and hyperpigmented plaques with 'peau d'orange appearance' over both shins.
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The underlying area was hyperpigmented up to mid-shin (Figure 1).
CT scan of the orbits at presentation of GO with (A) axial and (B) coronal views (2017). Bilateral proptosis, bulky inferior and medial rectus muscles (arrows) with medial deviation of the right eye globe. Optic nerves are stretched without compression.
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Computed Tomography (CT) imaging of her orbits showed mild bilateral proptosis with medial deviation of the right eye globe, enlarged extraocular muscles, increased fat stranding, and stretched bilateral optic nerves without compression (Figure 2).
Tc-99 scintigraphy (A) and thyroid ultrasound (B) in 2017 showed a focus of intense radiotracer uptake at the anterior midline neck corresponding to a solid hypoechoic lesion (arrow) superficial to the thyroid cartilage.
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Tc-99 thyroid scan and ultrasound. This lesion also corresponded to a focus of intense tracer uptake on scintigraphy (Figure 3).