PMC3869627_01
Magnetic resonance imaging of the suprasellar lesion. Sagittal plane showing the presence of oval-shaped lesion (diameters 17 mm x 8 mm) in the suprasellar region. The lesion presents intense enhancement with a central hypointense area.
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About 6 months before admission to our unit, the patient underwent an enhanced magnetic resonance image (MRI) of the head that revealed an oval-shaped suprasellar lesion (diameters 17 mm x 8 mm) with involvement of the median and paramedian left hypothalamus (Fig. 1).
Ultrasonograpgy (US) and US-elastography of the thyroid nodule. Baseline US showed a large hypoechoic nodule (diameters 42 mm x 33 mm x 25 mm) with fairly marginated margins (left side); at US-elastography (right side) the lesion appeared stiff with a high ECI index suggesting its malignant nature.
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During the same period, the patient also underwent an ultrasound examination for a suspicious thyroid mass that revealed the presence of a nodule (diameters 42 mm x 33 mm x 25 mm) within the right lobe that was isoechoic with some hypoechoic areas (Fig. 2, left side). When admitted to our department, a US-elastography (Fig. 2, right side) of the lesion was performed.
Histology of the thyroid nodule. Typical thyroid papillary carcinoma containing numerous branching and randomly oriented papillae, with a central fibrovascular core lined by a single epithelial cells showing ground glass nuclei and nuclear groove.
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The histopathology report revealed the presence of a papillary carcinoma of the thyroid with local infiltration of the thyroid capsula staging pT3N0M0, with no sign of LCH infiltration (Fig. 3).