Amyloid goitre: CT and MR findings

A Case of Amyloid Goiter Secondary to Crohn's Disease.

“…In a previously reported case of amyloid goiter which was complicated by fatty infiltration, the thyroid US showed a high echogenicity [11]. In turn, Fontan et al [12] reported several cases of amyloid goiter in which cystic and solid lesions coexisted, which, on a morphological basis, can be reasonably diagnosed as adenomatous goiter similar to our case. In our patient, the existence of amyloid A protein in the thyroid was confirmed, and there were no neoplasms or other inflammatory diseases other than Crohn's disease.…”

Sonographic Signs of Amyloidosis

“…A fine needle aspiration was positive for amyloid [66]. Two cases of amyloid goitre were reported by Fontan et al [67]. In the CT scan an enlarged thyroid mass with cystic components, showing solid parts of the goitre with high attenuation and moderate hypointensity on T 1 -and T 2 -weighted images in MRI could be detected.…”

Primary Amyloid Goiter and Review of Imaging Characteristics

“…A spectrum of cystic change has been described, including liquid-liquid levels and solid material floating within some of the cysts. 11 Appearances can extend to conglomerate cystic lesions separated by echogenic septa. 7, 11…”

“…Fontan et al . 11 reported several cases of amyloid goiter in which cystic and solid lesions coexisted, which on a morphological basis can be reasonably diagnosed as an adenomatous goiter.…”

“…10 The cysts, though lobular, were simple in appearance without the internal components as reported by Fontan et al . 11…”