title: Pathology Image of the Month: Black Thyroid.
abstract: A 54-year-old Caucasian male had a witnessed collapse on the street. He was transported to the emergency department and subsequently pronounced dead. An unlimited autopsy examination was conducted under authorization of the coroner. Medical record review later revealed that the decedent had a history of alcohol abuse, chronic obstructive pulmonary disease, congestive heart failure, and chronic osteomyelitis treated by minocycline 100 mg twice daily. Autopsy revealed the cause of death to be ruptured gastroesophageal varices with nearly one liter of recent hemorrhage in the stomach and gastrointestinal tract. Other findings compatible with a history of alcoholism included hepatosplenomegaly, hepatic steatosis, and early bridging fibrosis. The decedent's thyroid was multinodular and enlarged at 50 gm. The thyroid gland, in its entirety, is shown below with serial sections made longitudinally through the gland capsule to reveal the underlying parenchyma.
authors: Department of Pathology at the Louisiana State University School of Medicine in New Orleans.
authors: Christin
authors: C
authors: Tsao
authors: Department of Pathology at the Louisiana State University School of Medicine in New Orleans.
authors: Robin R
authors: RR
authors: McGoey
mesh_terms: D019973:Alcohol-Related Disorders / Q000150:complications / Q000473:pathology*; D003645:Death, Sudden; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000473:pathology*; D013959:Thyroid Diseases / Q000150:complications / Q000473:pathology*; D013961:Thyroid Gland / Q000473:pathology*