Article |

Radiological Case of the Month

Pamela A. Clark, MD; Bradley M. Rogers, MD; Alan D. Rogol, MD, PhD
Arch Pediatr Adolesc Med. 1995;149(6):697-698. doi:10.1001/archpedi.1995.02170190107019.
Text Size: A A A
Published online

THE PATIENT is a 14-year-old girl referred 6 months earlier by her pediatrician for examination of a right thyroid nodule detected during a routine physical examination. She was asymptomatic, and results of the thyroid function studies obtained are shown in the Table. A technetium-99m pertechnetate thyroid scan revealed two "hot" nodules replacing the right lobe of the gland and a normal-sized left lobe with diminished uptake (Figure). Levothyroxine sodium therapy, 100 μg/d, was begun to suppress the nodules. Five months after initiating therapy, further enlargement of the gland was noted, and the dose of levothyroxine sodium was increased to 125 μg/d. Results of thyroid function studies at that time are shown in the Table.

When seen 6 months later by a pediatric endocrinologist, she was asymptomatic except for abdominal cramping and diarrhea related to the increased dose of levothyroxine. Assessment of her medical history was negative, with normal onset


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.