IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Fetal goiter due to hypothyroidism

Case contributed by Vikas Jhanwar
Diagnosis certain

Presentation

A 25 year old female patient presented with polyhydramnios.

Patient Data

Age: 25 years
Gender: Female
ultrasound

Pregnancy of 32-33 weeks with polyhydramnios and having a well defined neck mass which was homegenously isoechoic well defined and at anterior part of neck. Mass also shows extensive vascularity. Fetus shows normal heart rate and normal bone maturation but showing increased fetal movements. 

Case Discussion

The differential diagnosis of fetal neck mass includes fetal goiter, cervical teratomacystic hygroma and lymphangioma 

  • cervical teratomas are heterogeneous (solid cystic) in echotexture, may show calcification and usually are very large. Teratoma's usually occurs in the antero-lateral part of neck.
  • cystic hygromas are usually cystic lesion with septations and usually are present posterior to the neck 
  • lymphangioma also has a cystic appearance
  • goiter is well defined, solid homogeneous mass, present at anterior part of neck

An antenatal diagnosis of a fetal goiter was made due to hypothyroidism. This was confirmed by postnatal clinical and lab examination of baby.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.