case_images: PMC11797575_01
case_images: Thyroid ultrasound: (A) Right thyroid lobe, longitudinal and (B) transverse sections show a heterogeneous parenchyma with hypoechogenic areas with poorly defined borders. (C) Left thyroid lobe, longitudinal section shows a predominantly hypoechogenic heterogeneous nodule of 2.78 cm (longitudinal diameter) x 1.5 cm (transverse diameter). (D) Cross section, there is an increase in volume and heterogeneous parenchyma with some poorly defined hypoechogenic areas.
case_images: rpmesp-41-04-14228-g001.jpg
case_images: PMC11797575_01_rpmesp-41-04-14228-g001.jpg
case_images: f1
case_images: In addition, multiple adenopathies were found in cervical groups II, III and VI left and bilateral supra-sternal, enlarged, rounded, with well-defined contours, homogeneous structure, hyperechogenic lymph node hilum and increased vascular flow, predominantly hilar and central (Figure 1).
case_images: Thyroid scan with Technetium 99m. (A) and (B) Anteroposterior incidences (C) Right anterior oblique incidence (D) Left anterior oblique incidence. It shows physiological uptake at the level of the salivary glands and absence of uptake at the level of the thyroid bed.
case_images: rpmesp-41-04-14228-g002.jpg
case_images: PMC11797575_01_rpmesp-41-04-14228-g002.jpg
case_images: f2
case_images: Thyroid scintigraphy with Technetium-99m showed absence of radionuclide uptake, compatible with thyroiditis (Figure 2).