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Thyroid ultrasound with a hypoechoic nodule in the right middle lobe with faint microcalcifications
benign
Ultrasonography revealed multiple bilateral thyroid nodules and a hypoechoic mass in the left side of the neck.
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Transverse sonographic image of the thyroid gland. In the left thyroid lobe, there is a hypoechoic, well-demarked lesion. Macrocalcifications are ventral and in the middle of the cyst.
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Thyroid ultrasonography showing a left solid and isohypoechoic nodule with peripheral and intranodular vascularization.
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Ultrasound transversal view of the neck. Th, thyroid gland; TL, trachea lumen; TR, tracheal ring; V, vessel.
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Ultrasonographic axial section showing KJD behind the thyroid left lobe.
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Thyroid ultrasound revealed a 14x14x22 mm nodule with a mixed echo pattern, rough calcification foci and cystic-necrotic areas in the left lobe lower pole. Fine needle aspiration biopsy of this nodule complied with benign follicular nodule. Bone scintigraphy is usually performed to evaluate a wide variety of skeletal abnormalities (1). Tc-99m-labeled diphosphonates have been used for bone scanning as a major diagnostic tool since the beginning of 1970s (2). Tc-99m MDP has rapid blood clearance, excellent in vivo chemical stability, and a high bone-to-soft tissue ratio, thus, it is ideal for bone imaging (3). In the literature, many cases of incidental Tc-99m-MDP uptake by the soft tissue have been reported due to various reasons, both benign (tumoral calcinosis, myositis ossificans) and malignant (sarcomas, adenocarcinomas, metastases) conditions (4,5). Mechanisms leading to increased extraosseous Tc-99m MDP uptake include extracellular fluid expansion, enhanced local vascularity and permeability, and high tissue calcium concentration. The composition of the calcium deposition and the presence of other elements (e.g. iron and magnesium) are important (4). It is known that there may be incidental Tc-99m MDP uptake in the thyroid gland, in calcific thyroid nodules, secondary to biopsy interventions, anaplastic thyroid carcinoma or metastatic thyroid cancer (4,6). In our case, unexpected incidental Tc-99m MDP involvement was presented in a functionally active thyroid nodule. This appearance of Tc-99m MDP uptake in an active thyroid nodule, first demonstrated in this case, is thought to be secondary to the presence of microcalcifications in the nodule
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Thyroid ultrasound at birth in which the enlargement of the gland was detected (cursor 1 isthmus, 0.8 cm; cursor 2 antero–posterior diameter of the right lobe, 2.5 cm; cursor 3 antero–posterior diameter of the left lobe, 2.2 cm).
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Ultrasound image of thyroiditis in a 6-month-old child.
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A 47-year-old woman with papillary thyroid cancer.Ultrasonogram shows a hyperechoic lymph node (arrowheads) with loss of fatty echogenic hilum in the left neck level VI region. However, there is no demonstrable metastatic lymph node in the neck computed tomography. This lymph node was surgically confirmed as metastatic papillary carcinoma.
malignant
Ultrasonography of the neck showed absence of thyroid tissue
benign
A benign nodule (the Bethesda System for Reporting Thyroid Cytopathology category II on fine-needle aspiration cytology) in the right thyroid lobe of a 43-year-old woman.A transverse ultrasonography shows an isoechoic and hyperechoic mixed solid-cystic nodule with well-defined margins (arrowheads). The total malignancy score of this nodule was 1 because of the mixed vascularization (not shown).
benign
A papillary carcinoma (confirmed by fine-needle aspiration cytology and surgery) in the left thyroid lobe of a 24-year-old woman.A transverse ultrasonography shows a single, hypoechoic, solid nodule with irregular margins (arrowheads), containing some fine areas of hyperechogenicity (arrows) without any comet-tail artifacts that grew by >20% in the preceding 6 months. The total malignancy score of this nodule was 8.
malignant
A follicular adenoma (the Bethesda System for Reporting Thyroid Cytopathology category III on fine-needle aspiration cytology) in the right thyroid lobe of a 76-year-old woman.A transverse ultrasonography shows a single solid nodule (shown in the square) with mixed vascularization on a power Doppler examination that grew by >20% in the preceding 6 months. The total malignancy score of this nodule was 5.
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Thyroid ultrasonography shows a well-defined hypoechoic mass in the left lobe.
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Thyroid ultrasound: linear probe and high frequency. Right lobe: hypoechoic polylobular nodule with intense intranodular vascularisation classified as EU-TIRADS 5.
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Ultrasound neck showing enlarged left thyroid lobe.
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Thyroid ultrasonography showing a solid oval-shaped nodule (0.87 cm) with multiple tiny calcifications in the upper pole of the left thyroid gland.
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Ultrasound revealing an inhomogeneous, mildly enlarged thyroid
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Intraoperative ultrasound revealing a 2 cm heterogeneous right-sided mass consistent with an abnormal right upper parathyroid gland.
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Visualization of the hyoid bone and larynx by ultrasonography, and the HL motion ratio.(A) Distance from the resting position at which elevation of the upper end of the thyroid cartilage reaches the maximally elevated position, at which elevation stops.(B) Distance from the resting position at which elevation of the hyoid bone reaches the maximally elevated position, at which elevation stops.
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Ultrasound imaging of the relaxed vocal cords (white line with arrows). (1) Vocal muscle. (2) Thyroid cartilage.
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Transverse neck ultrasound image at the level of C6 vertebra. (1) Internal jugular vein, (2) common carotid artery, (3) subcutaneous tissue, (4) thyroid gland, and (5) trachea.
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Ultrasound scan of a papillary thyroid microcarcinoma (PTMC) in a 50-year-old female. A hypoechoic nodule, 0.52 cm in size, was observed in the right lobe. The PTMC has an unclear boundary, an irregular shape
malignant
Ultrasound scan of a papillary thyroid microcarcinoma (PTMC) in a 47-year-old female. A hypoechoic nodule, 0.72 cm in size, was observed in the right lobe. The PTMC has an unclear boundary with microcalcification surrounding the nodule.
malignant
Ultrasound scan of a papillary thyroid non-microcarcinoma (non-PTMC) in a 56-year-old female. A hypoechoic nodule, 2.04 cm in size, was observed in the right lobe. The non-PTMC has a less clear boundary, shallow lobulation and microcalcification.
malignant
Ultrasound scan of a papillary thyroid non-microcarcinoma (non-PTMC) in a 41-year-old male. A cystic-solid nodule, 2.36√ó1.65 cm in size, was observed in the left lobe. The non-PTMC has an unclear boundary of the solid component, an irregular shape, dense microcalcification and strip-like blood vessels.
malignant
Ultrasound sonogram of the thyroid showed a non-homogenous mass with an unclear boundary, low and moderate echo and rich blood flow signal
benign
Ultrasound sonogram of the thyroid showed a non-homogenous mass with an unclear boundary, low and moderate echo and rich blood flow signal
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Normal sonoanatomy of upper airway showing the relationship between thyroid cartilage, cricoid cartilage, air–mucosal interface and surrounding soft tissues. A continuous and undisrupted line of air–mucosal interface seen as hyperechoic line (arrowhead
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Thyroid ultrasound image of normal infant showing anteroposterior measurement of the isthmus.
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Greyscale ultrasound showed that there was a solid hypoechoic nodule in the isthmus of the thyroid, with regular margin, wider-than-tall shape, without calcification. The nodule was ACR TI-RADS category 4.
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Thyroid ultrasonography (lower)
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Thyroid ultrasonography (lower)
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Transverse greyscale and sagittal colour Doppler ultrasound of the neck demonstrate a right thyroid irregular hypoechoic lesion with some micro-calcifications (white arrows) and increased vascularity
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Transverse greyscale and sagittal colour Doppler ultrasound of the neck demonstrate a right thyroid irregular hypoechoic lesion with some micro-calcifications (white arrows) and increased vascularity
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Representative images and histology of macro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of macro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of micro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of macro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of micro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of macro-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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Representative images and histology of non-calcified benign thyroid nodule at conventional ultrasound, SE, and SWE
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a cystic thyroid nodule of ultrasonographic images before PPI treatment
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a cystic thyroid nodule of ultrasonographic images before PPI treatment
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a cystic thyroid nodule of ultrasonographic images before PPI treatment
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Thyroid size was assessed in all groups using small animal sonography with 40 MHz transducer.
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Thyroid size was assessed in all groups using small animal sonography with 40 MHz transducer.
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Thyroid size was assessed in all groups using small animal sonography with 40 MHz transducer.
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Thyroid size was assessed in all groups using small animal sonography with 40MHz transducer.
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B-ultrasound revealed a nodular mass located on the outside inferior left lobe of the thyroid gland
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Ultrasonographic images of the thyroid showing normal-sized gland with slightly enhanced blood flow.
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Ultrasonographic images of the thyroid showing normal-sized gland with slightly enhanced blood flow.
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Technetium-99m pertechnetate thyroid scan showing increased uptake in both thyroid lobes with a more focal hot nodule in the superior to mid portion of the right lobe, corresponding to the nodule seen on ultrasound
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Conventional ultrasound image shows a thyroid nodule with solid portion over 80%.
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Conventional ultrasound image shows a thyroid nodule with solid portion over 80%.
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Thyroid enhanced computed tomography and ultrasonography showed several nodules inside the thyroid gland, of which the largest located at the bottom of the right lobe contained a cystic component and high vascularity
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Thyroid ultrasonography (US) showed the largest thyroid nodule in the right lobe with high vascularity and a cystic region. This nodule showed as excess trapping of isotope in technetium-99 m pertechnetate scintigraphy against a low background of the thyroid
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Thyroid ultrasonography (US) showed the largest thyroid nodule in the right lobe with high vascularity and a cystic region. This nodule showed as excess trapping of isotope in technetium-99 m pertechnetate scintigraphy against a low background of the thyroid
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transverse view of the right thyroid lobe with decreased blood flow within the hypoechoic area on color-coded Doppler sonography
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longitudinal view of the right thyroid lobe with decreased blood flow within the hypoechoic areas on color-coded Doppler sonography
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Before RFA, ultrasound image shows a hypoechoic nodule with an smooth margin thyroid nodule, and size with 0.9cm×0.6 cm×0.6 cm
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Transverse gray-scale ultrasound (US) of the right thyroid shows a well-circumscribed, solid, iso- to slightly hyperechoic nodule in the lower pole (calipers)
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Longitudinal gray-scale sonography revealed a predominantly cysticcm3 thyroid nodule with a little solid portion abutted on the side of the cyst wall in the thyroid isthmus, the cystic portion was more than 90% of the thyroid node.
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Morphology of thyroid in the EAT group by ultrasonography
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Morphology of thyroid in the CON group by ultrasonography
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Morphology of thyroid in the CON group by ultrasonography
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Macro photograph, ultrasound image, and magnetic resonance image of thyroid cartilage and cricoid cartilage in the transverse plane
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Thyroid ultrasonography showing heterogenous thyroid nodule with focal areas of hypoechogenicity
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Thyroid ultrasonography showing a 3.5 cm heterogeneous nodule with hypoechoic (arrow) and hyperechoic components (arrowhead) U3
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Thyroid ultrasonography performed at the time of FNAB showing needle track advanced into the nodul
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preoperative thyroid sonography.
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A Thyroid Ultrasound performed at the time of diagnosis.
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A hypo-echoic solid nodule with an irregular margin and a taller-than-wide shape showed in the upper of left thyroid lobe on the gray-mode ultrasonography
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Transverse image of ultrasonography, showing a heterogeneous hypoechoic nodule with circumscribed margin on the right lobe of thyroid. The arrows show the internal linear echogenic strands
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Transverse image of ultrasonography, showing heterogeneous hypoechoic nodules on the left lobe of thyroid with irregular border
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the ultrasound shows the typical cystic (Swiss cheese) appearance that seen in MAS thyroid
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C-mode ultrasound of an excised human thyroid from a cadaver
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Ultrasound image of right thyroid lobe with the features of nodular remodeling in 57-year-old female with SLL-B/CLL-B.
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Ultrasound image of left thyroid lobe with the infiltration of small lymphocytic B-cell lymphoma in 57-year-old female with SLL-B/CLL-B.
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Ultrasound image of left thyroid lobe with the infiltration of small lymphocytic B-cell lymphoma in 57-year-old female with SLL-B/CLL-B
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Ultrasonography of the left thyroid lobe, demonstrating a 2.7 cm, predominantly solid, and isoechoic nodule
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Thyroid ultrasound displaying a solitary heterogeneous nodule which is 55 X 51 mm in size.
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Ultrasonography of the right lobe. Tumor thrombus (arrows) is observed in the superior thyroid vein.
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Ultrasonography of the right lobe and the jugular vein. A solid mass (arrow on the left), that is, tumor thrombus, is shown in the lumen of the jugular vein. The lumen of the middle thyroid vein is completely occupied with tumor thrombus (arrow on the right)
benign
Ultrasonography image of hypoechoic nodules with well-defined margins located in the right inferior lobe of the thyroid gland
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thyroid inferno on longitudinal color Doppler sonogra
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Longitudinal gray-scale sonogram shows a predominantly solid thyroid nodule (arrows, 5.5 cm in the largest diameter) in the right lobe. This nodule exhibits benign sonographic features such as isoechogenicity, smooth margins, a hypoechoic halo, oval shape, and peripheral vascularity.
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Transverse ultrasound image of the thyroid gland prior to biopsy reveals multiple internal foci of calcification
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Ultrasound showed the 15mm neck mass in the left thyroid bed.
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Conventional ultrasonography (CUS) showed that there was a solid hypoechoic nodule with a regular margin in the isthmus of the thyroid. The nodule was of intermediate suspicion
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Thyroid ultrasound
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Two-planes gray-scale ultrasound (US) showing pretreatment evaluation of an almost completely solid right thyroid lobe nodule (volume: 28.8 mL).
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Ultrasound Doppler image shows a hypervascular (arrow) lesion within the right lobe of the thyroid
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Ultrasonography of thyroid on admission showed more hypoechoic and enlarged thyroid gland (White Asterisk)
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6-month follow-up ultrasonography showed normal sized thyroid gland
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Thyroid ultrasound image of normal infant showing anteroposterior measurement of the isthmus.
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Thyroid ultrasound image of normal infant showing width and anteroposterior measurement of right lob
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Thyroid ultrasound image of normal infant showing width and anteroposterior measurement of left lob
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Thyroid gland volume determination on ultrasound (US) using ellipsoid model method on axial plane.
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