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British Journal of Radiology (2005) 78, 1038-1041
© 2005 British Institute of Radiology
doi: 10.1259/bjr/24024066
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Adrenal and renal metastases from follicular thyroid cancer

A Kumar, MD, DNB 1 M Nadig, MD 1 V Patra, MD 2 D N Srivastava, MD 2 K Verma, MD 3 and C S Bal, MD, DNB 1

Department of 1 Nuclear Medicine, 2 Radiology and 3 Pathology, at All India Institute of Medical Sciences, New Delhi, India



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  		Figure 1. Low dose (3 mCi) radioiodine whole body scan showing radioiodine uptake in the left shoulder (arrow 1), 2nd right rib anteriorly (arrow 2) and right iliac bone (arrow 3). There is a faint radioiodine accumulation in the adrenal region (arrow 4), which was, however, overlooked at that time.

 


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  		Figure 2. Post-radioiodine therapy whole body scan showing radioiodine uptake in thyroid bed and intense radioiodine accumulation below the liver in the right adrenal (arrow 4) and left renal (arrow 5) region, besides showing other lesions as depicted in Figure 1Go.

 


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  		Figure 3. Contrast enhanced CT abdomen showing a large, heterogeneous mass in the right adrenal gland (arrow 1) and an isodense focal lesion in the interpolar region of the left kidney (arrow 2).

 


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  		Figure 4. Ultrasound guided fine needle aspiration cytology from the adrenal and renal regions showing tumour cells lying adjacent to normal adrenal cortical cells (arrow). (May Grunwald Giemsa x 100).

 




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