PMC3809183_01
37-year-old female patient with left Horner syndrome. Fig.1b: The resolution of the anisocoria and the left upper lid ptosis after instillation of apraclonidine.
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F1
A 37 years old woman was admitted to the outpatient clinic due to a swelling on her neck, left upper eyelid ptosis and miosis for two years (Fig.1 a, b). After instillation of topical aproclonidine (0.5%), (Iopidine, Alcon Laboratories Inc, Fort Worth, Texas) the right pupil was measured as 2 mm, while the left one was measured as 4 mm, the anisocoria reversed and the ptosis was entirely resolved (Fig.1b).
Thyroid ultrasound displaying a solitary heterogeneous nodule which is 55 X 51 mm in size. Fig.2b: Computerize tomography imaging of the neck demonstrating the same thyroid nodule.
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F2
The other nodule has a dimension of 7 x 5 mm, located at the posterior section of the right lobe (Fig.2a). Similar images were also observed in a computerized tomography (Fig.2b).