case_images: PMC6352650_01
case_images: Bone marrow aspirate showing trilineage hematopoiesis and mild dysplasia in the erythroid series, (May-Grunwald-Giemsa, x400)
case_images: IJNM-34-38-g001.jpg
case_images: PMC6352650_01_IJNM-34-38-g001.jpg
case_images: F1
case_images: BMA showed hypercellularity with erythroid hyperplasia [Figure 1].
case_images: Bone marrow biopsy showing mild hypercellularity with erythroid hyperplasia, and normal trilineage hematopoiesis (H and E, x400)
case_images: IJNM-34-38-g002.jpg
case_images: PMC6352650_01_IJNM-34-38-g002.jpg
case_images: F2
case_images: Bone marrow biopsy [Figure 2] showed similar features as shown in BMA.
case_images: Technetium-99 m thyroid uptake scan shows severely increased but diffuse homogeneous tracer uptake in the enlarged thyroid gland with faintly visualized salivary glands suggestive of diffuse toxic goiter. Technetium 99 m pertechnetate uptake at 20 min is 46.5%
case_images: IJNM-34-38-g003.jpg
case_images: PMC6352650_01_IJNM-34-38-g003.jpg
case_images: F3
case_images: She underwent technetium-99 m thyroid uptake scan [Figure 3], which showed diffusely increased homogeneous tracer uptake in the enlarged thyroid gland, suggestive of diffuse toxic goiter.