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AJNR - American Journal of Neuroradiology

Published ahead of print on May 20, 2009
doi: 10.3174/ajnr.A1642

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American Journal of Neuroradiology 30:1944-1946, November-December 2009
© 2009 American Society of Neuroradiology

Case Report
HEAD AND NECK

Unilateral Hypopharyngitis, Cellulitis, and a Multinodular Goiter: A Triad of Findings Suggestive of Acute Suppurative Thyroiditis

M. Dugar^a, A. da Graca Bandeira^c, J. Bruns, Jr^b and P.M. Som^a

^aFrom the Departments of Radiology (M.D., P.M.S.)
^bEmergency Medicine (J.B.), Mount Sinai Medical Center, New York, NY
^cDepartment of Radiology (A.d.G.B.), Centro Hospitalar de Lisboa Central, Lisbon, Portugal.

Please address correspondence to Peter M. Som, MD, FACR, Department of Radiology, Mount Sinai Medical Center, Box 1234, One Gustave L. Levy Pl, New York, NY 10029-6574; e-mail: Peter.Som{at}MSSM.Edu

SUMMARY: Acute suppurative thyroiditis is an uncommon disorder, which has been associated with pre-existing thyroid disease, especially a multinodular goiter. We describe a case of a woman who presented clinically with an acute inflammatory condition of the neck. On CT examination, she had a triad of a multinodular goiter, a unilateral hypopharyngitis, and a surrounding cellulitis. We suggest that the constellation of these imaging findings should alert the radiologist to the diagnosis of acute thyroiditis.