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Clinical Features:

A 35-year-old female patient came with 

- Midline neck swelling

- Weight loss

- Diarrhoea


Ultrasound Features:

- Diffusely enlarged thyroid gland with heterogeneous echotexture.

- Grossly increased parenchymal vascularity forming the ‘Thyroid Inferno’ as well as grossly increased flow velocities in bilateral thyroid arteries.


Ultrasound Diagnosis:

Hyperthyroid Goitre


Ultrasound Images:



Diffuse thyromegaly with heterogeneous parenchyma


Thickened isthmus with high parenchymal vascularity


Enlarged inhomogeneous right lobe


Enlarged inhomogeneous left lobe


Very high flow velocities in the right inferior thyroid artery 


Very high flow velocities in the right superior thyroid artery 


Very high flow velocities in the left inferior thyroid artery 


Very high flow velocities in the left superior thyroid artery 


Increased parenchymal vascularity 


Thyroid Inferno


Normal right submandibular gland


Normal left submandibular gland


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