Metastatic rare nodule and Pleural Effusion from papillary thyroid cancer
A female patient 59 years old, underwent surgery for papillary thyroid cancer 9 years prior to this scan. She felt fatigued, expressed malaise, dry and irritating cough, shallow breath (as if unable to breathe air), pain in the right side of the back. During the chemotherapy treatment (3 months AFTER the recommendation), the patient underwent a contrast-enhanced CT scan of the thorax to assess the response to applied therapy. On this CT scan, utilising native axial tomogram we see bilateral several micronodular subpleural changes in the lungs with localization on the upper lobes. In both costophrenic sinuses pleural effusion, considerably more in the right, maximum thickness up to 41 mm (attenuation values of the fluid 14.58-17.00 HU). As there was a partial response to the applied chemotherapy, it was suggested to continue it for additional two cycles.
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