File:Anaplastic thyroid carcinoma (Radiopaedia 79087-92034 C 61).jpg

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Summary:

Description
  • Radiopaedia case ID: 79087
  • Image ID: 52952320
  • Image stack position: 61/87
  • Plane projection: Sagittal
  • Aux modality: C+ arterial phase
  • Modality: CT
  • System: Head & Neck
  • Findings: Large multiloculated centrally necrotic and peripherally enhancing right-sided neck mass arising from the right hemithyroid inferior pole. There is compression of the inferior aspect of the right internal jugular vein. Filling defect extending from the level of the thyroid mass up to the level of C2/C3 within the right internal jugular vein without associated enhancement or adjacent direct tumor invasion. Findings are in favor of bland thrombus. There is also effacement and likely invasion of the posterior trachea, with tracheal displacement anterolaterally, without any significant airway narrowing. There is encasement of the right common carotid artery, which opacifies normally without evidence of occlusion. The esophagus is displaced towards the left with narrowing and mural thickening. Proximal right subclavian artery is encased by the mass with minor narrowing of its caliber and post-stenotic dilatation. There is a peripherally enhancing round right level III lymph node with two further enhancing nodes more anteriorly. Multiple subcentimeter, enhancing left level II-IV and superior mediastinal lymph nodes are present.
Date Published: 20th Jun 2020
Source https://radiopaedia.org/cases/anaplastic-thyroid-carcinoma
Author Kelvin Feng
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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