Liver metastasis of medullary carcinoma of thyroid gland 64y
A male patient, 64 years old, underwent surgery for medullary thyroid cancer in the past. He also had a laparoscopic intervention of liver metastasis which was pathohistologically confirmed. He felt nausea and lost 7 kg of body weight. Following an ultrasound scan, a recurrence of metastatic liver disease was noticed. On this MRI scan (BEFORE the treatment), utilising post-contrast T1 VIBE FS in arterial phase 25 seconds (T1 weighted Volumetric Interpolated Breath-hold Examination FS) axial tomogram in the liver, several small focal lesions were noticed. The major one corresponds to secondary deposits, the largest with a diameter of 12 mm in VIIIs (segment). An annular increase in signal intensity around the metastases is also noticeable. The liver as a whole is heterointensive, approximately rectangular fields are registered subcapsularly, hypovascular fields that first correspond to the sequence of intervention - laparoscopically removed metastases, anamnestic data.
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