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Lee SK et al. – The authors report herein a case of follicular thyroid adenoma with an eggshell calcification presenting as an intensely hypermetabolic lesion on combined 18F–fluorodeoxyglucose whole–body PET and CT performed for staging work–up in a 68–year–old woman who had undergone distal gastrectomy with Billroth II anastomosis for early gastric carcinoma. The mass was intensely hypermetabolic on combined 18F–FDG PET/CT, hypoechoic with an interrupted eggshell calcification on gray–scale ultrasonography, and showed intranodular vascularity on power Doppler US.

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