case_images: PMC11349533_01
case_images: The images showed several nodules in the bilateral lobes of the thyroid (red arrows) (A, B).
case_images: fonc-14-1351509-g001.jpg
case_images: PMC11349533_01_fonc-14-1351509-g001.jpg
case_images: f1
case_images: Ultrasonography showed that in addition to nodules in the thyroid gland (multiple nodules in the lobes bilaterally, measuring 2-6 mm, with low echo or mixed echoes) ( Figures 1A, B ), there were mixed echo nodules posterior to the inferior part of the thyroid glands bilaterally ( Figures 2A-C ).
case_images: A mixed echogencitiy nodule was found behind the left and right thyroid lobes respectively (red arrowhead) (A-C). The nodule on the left is abutting the esophagus (yellow arrowhead) (B). Contrast agents were found in both nodules after swallowing SonoVue (white arrowhead) (D, E).
case_images: fonc-14-1351509-g002.jpg
case_images: PMC11349533_01_fonc-14-1351509-g002.jpg
case_images: f2
case_images: Ultrasonography showed that in addition to nodules in the thyroid gland (multiple nodules in the lobes bilaterally, measuring 2-6 mm, with low echo or mixed echoes) ( Figures 1A, B ), there were mixed echo nodules posterior to the inferior part of the thyroid glands bilaterally ( Figures 2A-C ). The anterior edge of the nodules was clear, and the posterior margin of the left nodule was continuous with the wall of the esophagus ( Figure 2B ). The patient was instructed to swallow the contrast agent, which was then found to be present in both nodules, confirming a diagnosis of bilateral PED ( Figures 2D, E ).
case_images: Barium esophagogram images showed two diverticula in the pharyngeal esophagus (A, B).
case_images: fonc-14-1351509-g003.jpg
case_images: PMC11349533_01_fonc-14-1351509-g003.jpg
case_images: f3
case_images: During the follow-up, the patient underwent a barium esophagogram, which again confirmed bilateral PED ( Figures 3A, B ).