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  Vol. 129 No. 8, August 2003 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Nima Heidari, MRCS(Eng); Ricard Simo, FRCS(ORL-HNS); Rosemary Toye, FRCR
University Hospital Lewisham, London, England

Arch Otolaryngol Head Neck Surg. 2003;129:899.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 50-YEAR-OLD WOMAN presented with a 4-month history of multiple midline, infrahyoid, cystic masses that moved on swallowing. The thyroid radioisotope scan (technetium 99m) (Figure 1) showed that the midline mass was functioning thyroid tissue separate from, and above, the main mass of the thyroid gland, which was irregular in shape and uptake, with most of the functioning tissue in the midline. The results of fine-needle aspiration cytology of the lump were nondiagnostic. Subsequent cytologic examination of a fine-needle aspirate, however, revealed psammoma bodies.


 
Figure appears in full text version.
Figure 1.


The patient was unavailable for follow-up. One year later, she presented because of a significant increase in the size of the masses. Clinical examination revealed the presence of a multinodular mass in the midline of the neck. The thyroid gland was nodular on palpation, and there was a palpable node on the right . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case—Diagnosis
Arch Otolaryngol Head Neck Surg. 2003;129(8):900-901.
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