Advertisement

Pattern Recognition: Uncommon Clinical Scenarios

  • Sathya Jyothinagaram
  • Mira MilasEmail author
Chapter

Abstract

Patients presenting for evaluation of thyroid and parathyroid disease may not exhibit typical ultrasound patterns of their underlying diagnosis. These situations may pose challenges to the clinician because the ultrasound features may falsely mimic endocrine disease. This chapter demonstrates three scenarios where the ultrasound pattern is best interpreted in the overall context of the patient’s presentation.

Keywords

Pattern recognition Thyroid disease Parathyroid disease 

Supplementary material

Video 17.1

Ultrasound of benign squamous cell cyst that clinically mimicked a thyroid nodule: transverse view (MP4 1691 kb)

Video 17.2

Ultrasound of benign squamous cell cyst that clinically mimicked a thyroid nodule: longitudinal view with nodule seen to be above the hypoechoic line representing the strap muscles (MP4 1768 kb)

Video 17.3

Ultrasound of benign squamous cell cyst that clinically mimicked a thyroid nodule: FNA biopsy (MP4 1496 kb)

Video 17.4

The normal thymus in small children and adolescents will appear to have hyperechoic foci that mimic microcalcifications, seen on the right side of the video clip frame (between the strap muscles and carotid artery) (MP4 2175 kb)

References

  1. 1.
    Xie C, Cox P, Taylor N, LaPorte S. Ultrasonography of thyroid nodules: a pictorial review. Insights Imaging. 2016;7(1):77–86.CrossRefPubMedGoogle Scholar
  2. 2.
    Ginat DT, Butani D, Giampoli EJ, Patel N, Dogra V. Pearls and pitfalls of thyroid nodule sonography and fine-needle aspiration. Ultrasound Q. 2010;26(3):171–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Bekele W, Gerscovich EO, Naderi S, Bishop J, Gandour-Edwards RF, McGahan JP. Sonography of an epidermoid inclusion cyst of the thyroid gland. J Ultrasound Med. 2012;31(1):128–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Yildiz AE, Ceyhan K, Sıklar Z, Bilir P, Yağmurlu EA, Berberoğlu M, Fitoz S. Intrathyroidal ectopic thymus in children: retrospective analysis of grayscale and doppler sonographic features. J Ultrasound Med. 2015;34(9):1651–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Suh HJ, Moon HJ, Kwak JY, Choi JS, Kim EK. Anaplastic thyroid cancer: ultrasonographic findings and the role of ultrasonography-guided fine needle aspiration biopsy. Yonsei Med J. 2013;54(6):1400–6.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Diabetes and Endocrinology Institute, Banner - University Medical Center PhoenixUniversity of Arizona College of Medicine – PhoenixPhoenixUSA
  2. 2.Department of Surgery and the Endocrinology & Metabolism InstituteUniversity of Arizona College of Medicine - Phoenix, Banner - University Medical Center PhoenixPhoenixUSA

Personalised recommendations