Septic pulmonary emboli are usually seen in the context of sepsis, and there are positive blood cultures at the time of imaging.
Pulmonary sarcoidosis typically manifests with hilar and mediastinal lymphadenopathy and is often accompanied by other organ involvement.
There are options for treatment if diagnosis is made early
Thyroidectomy, radioiodine treatment, and thyroid-stimulating hormone suppressive therapy are the most commonly used therapies for treatment of follicular thyroid carcinoma.4 If follicular thyroid carcinoma is caught early (with only local involvement), 5-year relative survival rates are near 100%.5 However, outcomes are generally poor in patients who are of older age and those who have macronodular lung metastases or multiple bone metastases.6
Our patient was started on levothyroxine. Radioiodine and targeted drug therapy with a tyrosine kinase inhibitor were attempted, but the patient was unable to tolerate them due to her poor functional status. She was thus transitioned to hospice care.