Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2020  |  Volume : 35  |  Issue : 4  |  Page : 326-329

Asymptomatic large pulmonary arteriovenous malformation masquerading as a metastatic deposit in a patient with papillary thyroid carcinoma


Department of Nuclear Medicine and Molecular Imaging, Amrita Institute of Medical Sciences and Research Center, Cochin, Kerala, India

Correspondence Address:
Dr. Padma Subramanyam
Department of Nuclear Medicine and Molecular Imaging, Amrita Institute of Medical Sciences and Research Center, Cochin - 682 041, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_75_20

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Adult cases of congenital arteriovenous malformation (AVM) of the mediastinum are extremely rare, and because of their varied clinical presentations, they pose a diagnostic challenge. There is no reported association of pulmonary AVM and papillary thyroid carcinoma. We describe a 38-year-old female with a large right lung AVM, multinodular goiter, and high serum thyroglobulin (Tg) with papillary thyroid carcinoma. The lung mass was believed to represent a pulmonary metastatic deposit due to high Tg value. Whole body I-131 scan and FDG PETMR imaging were performed as part of the workup.


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