metastatische Halslymphknoten

Zystische

Metastase eines papillären Schilddrüsenkarzinoms: Der große zystische Befund rechts zervikal zeigte mehrere solide, deutlich kontrastmittelaufnehmende Anteile. Neben dem Hauptbefund waren weitere Lymphknoten auffällig. MRT T2 axial und koronar, T1 axial und T1 axial FatSat Kontrastmittel. Sonografie des Lymphknotens und des Schilddrüsenknotens.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. Colour Doppler interrogation demonstrates profuse internal vascularity within the metastatic node.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. Grey scale US image illustrates pathologically enlarged lymph node with loss of normal central fatty hilum and increased reflectivity simillar to the primary thyroid lesion adjacent to the major blood vessels.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. Grey scale US image shows another smaller metastatic lymph node with simillar hyperechoic echotexture.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. Colour Doppler US image displays marked internal vascularity within another metastatic lymph node.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. Axial T1-FS post gadolinium administration at a lower level reveals the presence of a pathologically enlarged lymph node at level IV with similar enhancement pattern to tissue in the right retropharyngeal space.

Papillary

carcinoma of thyroid. US and MRI features of U5 rare malignant variant thyroid cancer. STIR coronal image delineates the exact extension of cervical lymphadenopathy (arrows) along the right internal jugular vein chain adjacent to the right thyroid lobe lesion (asterisk) at levels III and IV.