Clinical Problem Solving: Radiology |

Radiology Quiz Case

Nima Heidari, MRCS(Eng); Ricard Simo, FRCS(ORL-HNS); Rosemary Toye, FRCR
Arch Otolaryngol Head Neck Surg. 2003;129(8):899. doi:10.1001/archotol.129.8.899.
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A 50-YEAR-OLD WOMAN presented with a 4-month history of multiple midline, infrahyoid, cystic masses that moved on swallowing. The thyroid radioisotope scan (technetium 99m) (Figure 1) showed that the midline mass was functioning thyroid tissue separate from, and above, the main mass of the thyroid gland, which was irregular in shape and uptake, with most of the functioning tissue in the midline. The results of fine-needle aspiration cytology of the lump were nondiagnostic. Subsequent cytologic examination of a fine-needle aspirate, however, revealed psammoma bodies.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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