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Case Reports
. 2018 Jul-Sep;33(3):237-238.
doi: 10.4103/ijnm.IJNM_21_18.

A Rare Case of Thyrolipomatosis Presenting with Latent Hyperthyroidism

Chidambaram Natrajan Balasubramanian Harisankar  1
Affiliations
Case Reports

A Rare Case of Thyrolipomatosis Presenting with Latent Hyperthyroidism

Chidambaram Natrajan Balasubramanian Harisankar. Indian J Nucl Med. 2018 Jul-Sep.

Abstract

Goiter and hyperthyroidism are fairly common problems in the Indian population. We present a 49-year-old female who presented with thyroid swelling and suppressed thyroid-stimulating hormone. On evaluation, she was having latent hyperthyroidism with diffuse and soft thyroid swelling. During the evaluation for feasibility of radioiodine ablation, she was found to have thyrolipomatosis on computed tomography. She was counseled for total thyroidectomy and subsequently underwent the same with histopathology confirming the presence of fatty infiltration into the thyroid stroma.

Keywords: Radioiodine ablation; thyroid scintigraphy; thyrolipomatosis; total thyroidectomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
A 49-year-old female presented with diffuse and soft neck swelling (a). The lower border of the swelling was not well made out. She underwent technetium TS as per the standard protocol (b). Technetium thyroid scan showed physiological perfusion and trapping function in both lobes of thyroid without any obvious cold nodules. Noncontrast computed tomography performed for the evaluation of retrosternal extension and tracheal status ([c] coronal; [d] transaxial sections) showed diffuse fatty infiltration (60 HU) with thyroid stroma showing higher attenuation
See this image and copyright information in PMC

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