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CASE REPORT A 47-year-old woman presented at the emergency department with acute neck pain, local swelling and fever. Neck ultrasound with Doppler studies showed a goiter of 48 ml with an hypoechoic parenchyma and a left internal jugular vein thrombosis of recent appearance on the site of pain (Fig.1). Blood tests revealed elevated inflammatory markers, overt hyperthyroidism (TSH < 0.04 μUI/ml, FT4 3 ng/dl, FT3 7.9 pg/ml) and high serum thyroglobulin (183 ng/ml; N <40). Antibodies anti-thyroperoxidase, anti-thyroglobulin and anti-TSH receptor were absent. Technetium-99m pertechnetate scintigraphy showed a very low uptake, suggestive of thyroiditis (Fig.2). Nonsteroidal anti-inflammatory treatment was administered, in addition to low-molecular weight heparin.

Internal jugular vein thrombosis and intensely hypermetabolic thyroid on18F-FDG PET/CT

Internal jugular vein thrombosis and intensely hypermetabolic thyroid on¹⁸F-FDG PET/CT