Graves' disease echocardiography or ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sunny Kumar MD [2]

Overview

Goiter, which is caused by an enlarged thyroid gland, can be present with other forms of hyperthyroidism, although Graves' disease is the most common cause. A large goiter is visible to the naked eye, but a smaller goiter may not be clinically detectable, though ultrasound can assist in detecting it.

Ultrasound

Goiter, which is caused by an enlarged thyroid gland, can be present with other forms of hyperthyroidism, although Graves' disease is the most common cause. A large goiter is visible to the naked eye, but a smaller goiter may not be clinically detectable, though ultrasound can assist in detecting it. On US it appears as [1]:

  • Diffusely enlarged hyper-vascular thyroid gland a patterns on echo called  "thyroid inferno" 
  • Hyper-echoic and enlarged
  • Nodularity is present only in case of complicated cases as co-existing viral infection or autoimmune thyroid disease.
  • Echo-texture is heterogeneous
USG with contrast showing thyroid mass.(Source: Case courtesy of Dr Erik Ranschaert, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/10867">rID: 10867</a> )

References

  1. Pishdad P, Pishdad GR, Tavanaa S, Pishdad R, Jalli R (2017). "Thyroid Ultrasonography in Differentiation between Graves' Disease and Hashimoto's Thyroiditis". J Biomed Phys Eng. 7 (1): 21–26. PMC 5401130. PMID 28451576.

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