A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging

A 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on...

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Main Authors: Tuan Phung, Thach Nguyen, Dung Tran, Nga Phan, Hung Nguyen
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/7305619
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author Tuan Phung
Thach Nguyen
Dung Tran
Nga Phan
Hung Nguyen
author_facet Tuan Phung
Thach Nguyen
Dung Tran
Nga Phan
Hung Nguyen
author_sort Tuan Phung
collection DOAJ
description A 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on the opposed-phase chemical shift. After the thymic tumor diagnosis, she underwent thoracoscopic surgery for tumor resection. The postoperative histopathological finding was thymic lymphoid hyperplasia. This case suggests chemical shift MRI is not enough in distinguishing, and supplementary examination is essential to avoid unnecessary thymic biopsy and surgery.
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institution Kabale University
issn 2090-6862
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Radiology
spelling doaj-art-f94a8ee4929a4ffa90d1ebe8eccf57962025-02-03T01:12:28ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/73056197305619A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance ImagingTuan Phung0Thach Nguyen1Dung Tran2Nga Phan3Hung Nguyen4Radiology Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, VietnamAnesthesiology Department, National Institute of Burns, Vietnam Military Medical University, Hanoi, VietnamHistopathology Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, VietnamNeurology Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, VietnamHistopathology Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, VietnamA 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on the opposed-phase chemical shift. After the thymic tumor diagnosis, she underwent thoracoscopic surgery for tumor resection. The postoperative histopathological finding was thymic lymphoid hyperplasia. This case suggests chemical shift MRI is not enough in distinguishing, and supplementary examination is essential to avoid unnecessary thymic biopsy and surgery.http://dx.doi.org/10.1155/2018/7305619
spellingShingle Tuan Phung
Thach Nguyen
Dung Tran
Nga Phan
Hung Nguyen
A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
Case Reports in Radiology
title A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
title_full A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
title_fullStr A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
title_full_unstemmed A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
title_short A Thymic Hyperplasia Case without Suppressing on Chemical Shift Magnetic Resonance Imaging
title_sort thymic hyperplasia case without suppressing on chemical shift magnetic resonance imaging
url http://dx.doi.org/10.1155/2018/7305619
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