Ultrasound of the Marine-Lenhart Syndrome

Objectives: The Marine-Lenhart-Syndrome is the association of Grave's disease with autonomously functioning thyroid nodules. The aim of this study was to evaluate the sonographic presentation of this entity. Methods: 12 Patients with a Marine-Lehnhart-Syndrome according to the thyroid scan and the thyroid antibodies were studied with ultrasound (B-Mode and Color Doppler). Results: The toxic nodules were slight hyperechoic to hypoechoic with increased blood flow of several degree. The rest of the gland showed a diffuse hypoechonecity with increased vascularization. Conclusions: In cases of a diffuse parenchymal h…