Most recent by Stephanie L. Lee, MD, PhD, ECNU
Thyroid cysts not always benign
A 44-year-old woman was self-referred for a growing right thyroid mass. Seven years before presentation, the patient was seen at another institution for a large right cystic thyroid nodule.
The mystery of the bouncing thyroid nodule
In 2005, a 67-year-old woman with hypertension was referred to the endocrine clinic for a thyroid nodule found on her first routine physical exam with her new primary care provider. She had no prior history of thyroid disease or head and neck radiation. Her family history was negative for thyroid disease or thyroid cancer. She reported no neck mass, anterior neck pressure or dysphagia.
Unusual uptake on whole-body scan after gastric bypass surgery
A 38-year-old woman was referred for evaluation of metastatic thyroid cancer. During a routine physical exam 10 years earlier, her primary care physician noted an enlarged thyroid. Her thyroid function was normal with a thyroid-stimulating hormone of 2.08 uIU/mL. She had no family history of thyroid disease or thyroid cancer; no prior history of thyroid disease or head and neck radiation; and no symptoms of obstruction, including dysphagia, change in voice or cough.
Diagnosis and monitoring of an incidental infundibular lesion
A 61-year-old male was referred to the endocrine clinic for evaluation of a pituitary mass. A head MRI was ordered for the complaint of decreased smell for 2 years. The patient also had symptoms of reduced libido and sexual dysfunction.
Comet tail, cat eye and colloid clot artifact found in thyroid nodules
A 26-year-old female was referred by her primary care physician for the evaluation of thyroid nodules. During a routine physical exam, the PCP felt an enlarged thyroid gland. Laboratory tests showed a normal thyroid-stimulating hormone of 1.46 mIU/L. A radiology ultrasound was ordered that showed a thyroid with multiple hypoechoic lesions and the recommendation for biopsy. The patient was referred to the endocrine clinical for evaluation.
Looking at an unusual case of hypercalcemia
A 58-year-old female was readmitted for fevers and hypotension. Her previous medical history was significant for primary hypothyroidism and Roux-en-Y gastric bypass surgery performed more than 10 years before admission for morbid obesity.
Abnormal BMD image shows evidence of hip pain
A 62-year-old female was seen in the endocrine clinic for the routine management of hypothyroidism after undergoing a thyroidectomy to treat a toxic follicular adenoma and osteopenia. The patient was postmenopausal with a history of persistently low vitamin D and poor calcium intake.
Large toxic multinodular goiter found in Asian woman with type 2 diabetes
A 39-year-old Vietnamese woman was referred to the endocrine clinic for the evaluation of a toxic multinodular goiter. The goiter was found after a routine physical exam by her new primary care physician.
Treating hyperparathyroidism with two extrathyroidal masses
A 58-year-old female was self-referred 6 years ago for a second opinion regarding her hyperparathyroidism. She was told of an elevated parathyroid hormone of 97 pg/mL and 24-hour urinary calcium of 350 mg with a normal creatinine and serum calcium.
Ultrasound can predict extrathyroidal extension
A 72-year-old Albanian female was referred for the evaluation of a thyroid nodule. The nodule was found during an initial physical evaluation by her primary care physician.