Interesting ImagesFollicular Thyroid Cancer With Nose-Tip Metastasis and 131I UptakeYao, Shan-Fan MD∗; Lee, Chiang-Hsuan MD†; Chiu, Chuang-Hsin MD, PhD‡; Fan, Yu-Ming MD§; Huang, Wen-Sheng MD∗,‡Author Information From the ∗Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei †Departments of Nuclear Medicine and Anesthesiology, Chi-Mei General Hospital, Tainan ‡Department of Nuclear Medicine, Tri-Service General Hospital, Taipei §Department of Nuclear Medicine, Cardinal Tien Hospital, New Taipei City, Taiwan. Received for publication January 30, 2020; revision accepted March 16, 2020. Shan-Fan Yao and Chiang-Hsuan Lee contributed equally to this work. Conflicts of interest and sources of funding: none declared. Correspondence to: Yu-Ming Fan, MD, Department of Nuclear Medicine, Cardinal Tien Hospital, No. 362, Zhongzheng Rd, Xindian District, New Taipei City 231, Taiwan. E-mail: firstname.lastname@example.org; and Wen-Sheng Huang, MD, Department of Nuclear Medicine, Taipei Veterans General Hospital, 201 Sec. 2, Shipai Rd, Taipei 11217, Taiwan. E-mail: email@example.com. Clinical Nuclear Medicine: October 2020 - Volume 45 - Issue 10 - p e441-e442 doi: 10.1097/RLU.0000000000003072 Buy Metrics Abstract We present a 56-year-old woman with metastatic follicular thyroid cancer at the nose tip with 131I uptake that is clinically rare, mimicking physiological uptake in the nose, a common finding seen after routine 131I therapeutic imaging. The lesion revealed a metastatic follicular thyroid cancer with 131I uptake and response to 131I therapy. Surgical removal, however, was not performed due to cosmetic and functional considerations. Active surveillance is warranted owing to its relative aggressiveness in nature. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.