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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.
