CASE 317: CT FIRST  US SECOND IN CAUTION THYROID FUNCTION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 29YO  TRAUMA  AT THE HEAD AND NECK BY TRAFFIC ACCIDENT, NOW IN  PAIN  AND TACHYCARDIA.

CT  NON -CE WAS FIRST LINE, RADIOLOGIST  REPORTED    BIG AND  DARK THYROID GLAND , CT UNIT ARROUND   85 UI HOUSFIELD ( SEE  FOTO AND  CT1,CT2 ARE ABNORMAL).

ULTRASOUND  OF THYROID  ALSO    REPORTED LARGE VOLUME WITH  HYPOECHOIC AND   VERY HIGH  SIGNAL DOPPLER . SPECTRAL DOPPLER  OF  SUPERIOR THYROID ARTERY  WAS VERY  FAST PULSATILE, TYPICAL HYPERTHYROIDISM  AS  GRAVE DISEASE (BASEDOW).

BLOOD TESTS  CONFIRMED  A  HYPERTHYROIDISM WITH TSH LOW VALUE AND VERY  HIGH T3 AND T4.

SUMMARY: CT  NON CE  IS  POTENTIAL IN CAUTION  THYROID FUNCTION.