Computed tomography of the thyroid vascular, encapsulated structure made up of right and left lobes, which are connected at the midline by the isthmus. Each lobe is about 2 cm thick, 3 cm wide, and 5 cm long. The thyroid apex is located superiorly at the level of the mid-thyroid cartilage. The inferior margin of the gland is at the level of the fifth or sixth tracheal ring. The thyroid gland is encapsulated by the middle layer of deep cervical fascia and is part of the visceral space in the infrahyoid neck. It wraps around the trachea and is separated from the oesophagus by the
Computed tomography of the thyroid (PTCs) (Fig. 3). Incidentally detected cancers tend to be smaller in size and less likely to have distant metastasis, as compared to clinically suspected thyroid cancers. On CT scans, a malignant lesion is suspected when the margins are ill-defined and there is extra-thyroid extension, lymph node involvement, or invasion of the surrounding structures. The absence of these features does not exclude malignant tumours, especially papillary, follicular, and medullary thyroid carcinomas (Fig. 3). Therefore, ultrasound is the modality of choice for thyroid lesion evaluation, due to its superior spatial resolution compared to CT examinations. Sonographic features of malignancy are micro-calcifications, acoustic