PMC5508494_01
Cervical Ultrasonography: a heterogeneous hypoechoic nodule with calcifications measuring 33 x 27 x 25 mm in the right thyroid lobe.
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Cervical ultrasonography (US) showed a heterogeneous hypoechoic nodule with calcifications measuring 33 x 27 x 25 mm in the right thyroid lobe (Fig. 1) and a right internal jugular adenopathy (11 x 6 mm).
Intraoperative image from the right thyroid mass showing intense adhesions to the adjacent structures.
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Right thyroid lobectomy with right central lymph node dissection was performed (Fig. 2, Fig. 3).
Cervical CT: extensive right cervical metastatic disease with compressing right jugular internal vein.
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PET scan revealed extensive right cervical metastatic disease with compression of the right internal jugular vein (Fig. 4) and bilateral pulmonary metastases (Fig. 5).