ABSTRACT

The thyroid 367

Normal thyroid 367

Pathology 368

Benign thyroid disorders 372

Thyroid cancer 373

The pituitary 376

Pituitary tumours 376

Differential diagnosis 378

The parathyroids 379

Conclusion 380

Key learning points 380

References 380

What a lot of information, all in shades of greyy

There have been many advances in imaging in the last decade. Most hospitals now have access to ultrasound equipment with high spatial resolution and colour Doppler. Multislice CT has enabled the acquisition of thin section scans in a 3D data block enabling manipulation of the data to give high resolution images in any plane. Functional imaging using nuclear medicine, and in particular positron emission tomography, can assess tumour metabolism with FDG glucose positron emission tomography (PET) combined with computed tomography (CT) demonstrating areas of increased glucose metabolism with anatomical correlation.