Presenting ComplaintHistory of vomiting for 2 years duration, weight loss, and inappropriate urination.
- Cardiac murmur - sternal
- Total T4 - 96.2nmol/L (ref. 10.0 - 45.5nmol/L)
Nuclear Scintigraphy Findings
Left thyroid to salivary ratio - 2.9:1.0
Right thyroid to salivary ratio - 1.45:1.0
What are your initial radiographic impressions?
Figure 1: Right lateral view
Figure 2: Ventrodorsal view