PMC9242670_01
Ultrasound of the neck: 1.8 x 1.3 x 1.6 cm enlarged lymph node in the right superior jugular chain (level II), with x 10 magnification.
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A neck ultrasound showed an enlarged right jugulodigastric level II lymph node and a normal-sized thyroid gland exhibiting mild parenchymal disease with no nodules (Figures 1 to 3).
Ultrasound of the right thyroid lobe: The right lobe measured 3.3 x 2.0 x 1.0 cm, with x 10 magnification.
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A neck ultrasound showed an enlarged right jugulodigastric level II lymph node and a normal-sized thyroid gland exhibiting mild parenchymal disease with no nodules (Figures 1 to 3).
Ultrasound of the left thyroid lobe: The left lobe measured 4.2 x 2.4 x 2.1 cm, with x 10 magnification.
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A neck ultrasound showed an enlarged right jugulodigastric level II lymph node and a normal-sized thyroid gland exhibiting mild parenchymal disease with no nodules (Figures 1 to 3).
Right cervical lymph node FNAB: Atypical cells present were highly suspicious for a metastatic carcinoma (Papanicolaou Stain, 40x).
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FDG-avid right level III lymph node measuring 1.7 cm which may be a primary or metastatic lesion. FNAB of the lymph node showed atypical cells highly suspicious for a metastatic carcinoma (Figure 4).
Right cervical lymph node: Immunohistochemistry (Thyroglobulin Immunoperoxidase, 100x).
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The impression was a metastatic papillary thyroid carcinoma (Figures 5 and 6).
Right cervical lymph node: Papillary Thyroid Carcinoma, Metastatic (H&E, 20x).
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The impression was a metastatic papillary thyroid carcinoma (Figures 5 and 6).
Thyroid gland: Total thyroidectomy showed Chronic Lymphocytic Thyroiditis (H&E, 10x).
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Histopathology of the thyroid gland showed chronic lymphocytic thyroiditis with all eight lymph nodes negative for tumor (0/1 level III and 0/7 level VI) (Figure 7).