Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Classic Metaphyseal Fracture of Abuse
Joseph Junewick, MD FACR
over 6 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

16 year old female with neck mass; maternal history of Hashimoto’s thyroiditis.

Case Detail

Anatomy: Neck-Face
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Benign
Created: over 8 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: US
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Pathology – Adenomatous hyperplastic thyroid nodule on a background of chronic lymphocytic inflammation (Hashimoto’s thyroiditis).

Reveal Findings

US – Solid and cystic mass in the right lobe of the thyroid which is hyperemic on Doppler.

Reveal Discussion

Adenomatous hyperplastic thyroid nodules differ from true thyroid adenomas since they do not have a complete fibrous capsule and they are often multiple. Both thyroid adenomas and adenomatous hyperplastic nodules are well-circumscribed and slow growing; central necrosis is often encountered with increase in size. Lesions may contain coarse calcification. Adenopathy is usually absent.

Differential diagnosis includes colloid cyst, parathyroid adenoma, thyroid carcinoma.

Reveal Diagnosis

Adenomatous Hyperplastic Thyroid Nodule

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare