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. AFTER the treatment, which took 11 months, the patient underwent an MRI of the abdomen also, to assess the response to applied therapy. On this MRI scan utilisiingT2 BLADE (T2 weighted motion insensitive, multi-shot Turbo Spin Echo) axial tomogram the liver has a regular configuration, irregular parenchymal structure, lobural margins, post-therapy modified with zones of altered signal intensity subcapsularly at the level of IIs, VIIIs, IVs and VIs VI. The irregular zones described are non-restrictive diffusions as areas of perfusion imbalance. MRI examination indicates a good post-therapeutic response because they are visibly reduced secondary deposits by number and size, without clearly visible newly formed lesions.
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