CASE 317:CT FIRST U/S SECOND IN CAUTION OF THYROID FUNCTION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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case-317-ct-first-and-ultrasound-second-in-caution-thyroid-function

MAN 29YO  TRAUMA  AT THE HEAD AND NECK BY TRAFFIC ACCIDENT, NOW IN  PAIN  AND TACHYCARDIA.

CT  NON -CE WAS FIRST LINE, RADIOLOGIST  REPORTED    BIG AND  DARK THYROID GLAND , CT UNIT ARROUND   85 UI HOUSFIELD ( SEE  FOTO AND  CT1,CT2 ARE  ABNORMAL).

 ULTRASOUND  OF  THYROID  ALSO    REPORTED LARGE VOLUME WITH  HYPOECHOIC AND   VERY  HIGH  SIGNAL DOPPLER . SPECTRAL DOPPLER  OF  SUPERIOR THYROID ARTERY  WAS VERY  FAST PULSATILE, TYPICAL HYPERTHYROIDISM  AS  GRAVE  DISEASE (BASEDOW).

BLOOD TESTS  CONFIRMED  A  HYPERTHYROIDISM  WITH TSH  LOW  VALUE  AND VERY  HIGH T3 AND T4.

SUMMARY: CT  NON CE  IS  POTENTIAL IN CAUTION  THYROID FUNCTION.