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We report a 37-year-old female who underwent radioiodine treatment, with subsequent scintigraphy findings suggestive of pulmonary metastatic disease. The abnormal uptake on single-photon emission computed tomography/computed tomography correlated with a focal area of the right middle lobe bronchiectasis.

Single-photon emission computed tomography/computed tomography iodine-131 uptake of bronchiectasis masquerading as metastatic thryroid disease