Miliary lung metastasis due to papillary thyroid carcinoma

A 20-year-old man underwent near total thyroidectomy. The histopathological examination revealed a diffuse sclerosing variant of papillary thyroid carcinoma (PTC) involving both thyroid lobes. Twenty-six regional lymph nodes (cervical and upper mediastinal) were infiltrated by the neoplasm. The patient received an initial dose of 100 mCi of 131I for thyroid remnant ablation. Seven months later, the first postablative control was effected (patient was in a hypothyroid state, TSH: 85 μIU/ml, …