PMC6260530_01
Cervical computed tomography scan revealed an enlarged plunging multinodular thyroid gland.
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Cervical and chest computed tomography scan revealed an enlarged plunging multinodular thyroid gland (right lobe: 113 x 39 x 41 mm, left lobe: 90 x 53 x 44 mm) with an extension of the right lobe into Barety's space (Figure 1) and multiple bilateral lung nodules.
Granulomas in the thyroid (HEx100): the arrow shows epithelioid and langhans giant cells (HEx400).
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Histopathological examination showed a benign multinodular hyperplasia with epithelioid cell granulomas and giant cells (Figure 2).
Pulmonary tuberculosis with caseous necrosis (asterisk) and confluent tuberculosis granulomas (arrow) (HEx200).
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The histopathological examination of the lung biopsies showed foci of granulomatous inflammation along with caseous necrosis (Figure 3).