tFCK & THYR0l0 tFCK & THYR0l0

6lAt0 6lAt0
NECK : NECK :
U/S, CT S NR! invistigate : U/S, CT S NR! invistigate :
mass : solid,cystic,complex. mass : solid,cystic,complex.
staging tumour (by CT,NR!) staging tumour (by CT,NR!)
L.nodes enlargment L.nodes enlargment (cause (cause :metas. lymphoma, :metas. lymphoma,
infection:non specific or T.B) infection:non specific or T.B)
LARYNX: LARYNX:
best exam. by NR! then by C.T (extent of best exam. by NR! then by C.T (extent of
tumour mass, spread to subglottic space tumour mass, spread to subglottic space
SL.nodes). SL.nodes).
THYRO!D: THYRO!D:
Usually by U/S Usually by U/S
rare by CT(in retroster.goiter) rare by CT(in retroster.goiter)
nuclear medicine. nuclear medicine.
123 ! (in retroster. goiter) 123 ! (in retroster. goiter)
131 ! ( in thyroidectomy after carcin.) 131 ! ( in thyroidectomy after carcin.)
fine needle aspiration. fine needle aspiration.
By U/S: By U/S:
cystic (benign) cystic (benign)
mixture mixture
(usually benign) (usually benign)
solid solid
(benign or malig.) (benign or malig.)
Diffuse thyroid disease Diffuse thyroid disease : :
large gland (goiter) large gland (goiter)
nodular goiter. nodular goiter.
acute suppurative thyroiditis acute suppurative thyroiditis
..usually in children ..usually in children
.. ( abscess formation) .. ( abscess formation)
Subacute thyroiditis(viral) Subacute thyroiditis(viral)
.. Causes hypoechoic nodule. .. Causes hypoechoic nodule.
0hroni0 autoimmune dis.(Hashimoto's) 0hroni0 autoimmune dis.(Hashimoto's)
.. Painless diffuse enlargement. .. Painless diffuse enlargement.
.. Cause hypothyrodism. .. Cause hypothyrodism.
.. Hyperechoic diffuse coarse texture .. Hyperechoic diffuse coarse texture
with multiple hypoechoic micronodules with multiple hypoechoic micronodules
(1 (16mm) 6mm)
.. Nultiple linear septations .. Nultiple linear septations
Crave's dis. Crave's dis.
.. Cause thyrotoxicosis . .. Cause thyrotoxicosis .
..color doppler shows ..color doppler shows
hypervascular pattern hypervascular pattern